Kim Edward Johnson, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

31308 Issued in NC

Practice address

200 Providence Rd Ste 101
Nash Anesthesia Associates
Charlotte, NC 28207-1437

Phone

(844) 437-4275

Fax

(704) 973-7896

NPI assigned

Aug 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1780686626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14767",
            "address_2": "NASH ANESTHESIA ASSOCIATES",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154042",
            "telephone_number": "844-437-4275",
            "fax_number": "704-973-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PROVIDENCE RD STE 101",
            "address_2": "NASH ANESTHESIA ASSOCIATES",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071437",
            "telephone_number": "844-437-4275",
            "fax_number": "704-973-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIM",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "31308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2052241",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "46398",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8946398",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Sara Johnson, LCSWA, MSW
• Kayla Sheree Johnson, MSN, APRN, WHNP-BC
• Kelly M Johnson
• Ketty Johnson
• Khiari Johnson
• Kolu Leelee Johnson
• Kristain Johnson, BSN
• Kristen Janine Johnson, MS
• Kyle Thomas Johnson, MD
• Lakeata Johnson, LICENSED COSMETOLOGI

• Anesthesiology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Anesthesiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.