Individual provider Active NPI

Angela Johnson, M.D.

  • Psychiatry Physician
  • Columbus, OH
National Provider Identifier
1811144264
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.123618 Issued in OH
Practice address
4897 Karl Rd
Columbus, OH 43229-5147
Phone
(614) 846-2588
NPI assigned
Aug 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35.123618 OH Primary

Addresses

Primary practice location

4897 Karl Rd
Columbus, OH 43229-5147

Mailing address

4897 Karl Rd
Columbus, OH 43229-5147
Phone (614) 846-2588

Other practice location 1

3964 Hamilton Square Blvd
Groveport, OH 43125-9119
Phone (614) 362-1686

Other identifiers 1

IdentifierTypeStateIssuer
0110279MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20141110000768 OH Practitioner - Psychiatry 8527280437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Community Counseling Centers, IncGroup PAC ID 5698721751, 8 clinicians

Practice addresses (Care Compare)

Columbus, OH 43231
Phone (614) 267-7003

4897 Karl Rd
Columbus, OH 43229-5147
Phone (614) 846-2588

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Community Counseling Centers Inc CurrentSince Oct 1, 2014 Accepting new patients

Locations

4897 Karl Rd
Columbus, OH 43229
Phone (614) 846-2588

3556 Sullivant Ave
Columbus, OH 43204
Phone (614) 261-3196

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/northcommunity/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1811144264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4897 KARL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295147",
            "telephone_number": "614-846-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4897 KARL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295147",
            "telephone_number": "614-846-2588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3964 Hamilton Square Blvd",
            "address_purpose": "LOCATION",
            "city": "Groveport",
            "state": "OH",
            "postal_code": "431259119",
            "country_code": "US",
            "telephone_number": "614-362-1686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANGELA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.123618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110279",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.