Organization Active NPI

Johnston Neurology, PA

  • Neuromusculoskeletal Medicine & OMM Physician
  • Clayton, NC
National Provider Identifier
1821032673
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
JOHNSTON NEUROLOGY, PA
Practice address
11618 US Highway 70 W
Clayton, NC 27520-2275
Phone
(919) 550-2501
Fax
(919) 967-6647
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Ajmal M Gilani, MDNPI 1720039720
Title
President
Phone
(866) 457-5293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X NC Primary

Addresses

Primary practice location

11618 US Highway 70 W
Clayton, NC 27520-2275

Mailing address

PO Box 16127
Chapel Hill, NC 27516-6127
Phone (866) 457-5293

Other identifiers 2

IdentifierTypeStateIssuer
131T0OtherNCBCBS NC
5904155MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1821032673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16127",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275166127",
            "telephone_number": "866-457-5293",
            "fax_number": "919-967-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11618 US HIGHWAY 70 W",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202275",
            "telephone_number": "919-550-2501",
            "fax_number": "919-967-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON NEUROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "GILANI",
        "authorized_official_first_name": "AJMAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-457-5293",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "131T0",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904155",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.