Individual provider Active NPI

Megan Danyel Johnson, M.D.

  • Family Medicine Physician
  • Gastonia, NC
National Provider Identifier
1780027607
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2018-03033 Issued in NC
Practice address
885 Summit Crossing PL
Gastonia, NC 28054-2193
Phone
(704) 316-4979
Fax
(704) 316-4978
NPI assigned
Apr 10, 2013
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X WV
Family Medicine Physician 207Q00000X 26280 WV
Family Medicine Physician 207Q00000X 2018-03033 NC Primary

Addresses

Primary practice location

885 Summit Crossing PL
Gastonia, NC 28054-2193

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

1300 Fort Pierpont Dr
Ste 101
Morgantown, WV 26508-1314
Phone (304) 241-7150

Other practice location 2

1300 Fort Pierpont Dr
Ste 101
Morgantown, WV 26508-1314
Phone (304) 241-7150

Other practice location 3

2290 Remount Rd
Gastonia, NC 28054
Phone (704) 316-4979

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mjohnson719016@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190821003763 NC Practitioner - Family Practice 9739482365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

10810 Mallard Creek Rd
Charlotte, NC 28262-9786
Phone (704) 510-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Feb 1, 2023 Accepting new patients
Novant Health Medical Group, LLC Family Medicine CurrentSince Feb 1, 2023 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

2290 Remount Rd
Gastonia, NC 28054
Phone (704) 316-4979

885 Summit Crossing Pl
Gastonia, NC 28054
Phone (704) 316-4979

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: mjohnson719016@direct.novanthealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1780027607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 SUMMIT CROSSING PL",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542193",
            "telephone_number": "704-316-4979",
            "fax_number": "704-316-4978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 FORT PIERPONT DR",
            "address_2": "STE 101",
            "address_purpose": "LOCATION",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081314",
            "country_code": "US",
            "telephone_number": "304-241-7150",
            "fax_number": "304-599-8917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 FORT PIERPONT DR",
            "address_2": "STE 101",
            "address_purpose": "LOCATION",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081314",
            "country_code": "US",
            "telephone_number": "304-241-7150",
            "fax_number": "304-599-8917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2290 Remount Rd",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "28054",
            "country_code": "US",
            "telephone_number": "704-316-4979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MEGAN",
        "middle_name": "DANYEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2024-02-07",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WV",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "26280",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2018-03033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjohnson719016@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1300 FORT PIERPONT DR",
            "address_2": "STE 101",
            "city": "MORGANTOWN",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265081314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.