Individual provider Active NPI

John T Johnson, MD

  • Surgery Physician
  • Morehead City, NC
National Provider Identifier
1821197609
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
200300816 Issued in NC
Practice address
306 Medical Park CT
Morehead City, NC 28557-4346
Phone
(252) 247-2101
Fax
(252) 247-4675
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 200300816 NC Primary

Addresses

Primary practice location

306 Medical Park CT
Morehead City, NC 28557-4346

Mailing address

306 Medical Park CT
Morehead City, NC 28557-4346
Phone (252) 247-2101

Other practice location 1

2145 Country Club Rd Ste 400
Jacksonville, NC 28546-0128
Phone (910) 939-5759

Other identifiers 1

IdentifierTypeStateIssuer
89134V5MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.johnson.1@9526.direct.athenahealth.com

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
I20040323001467 NC Practitioner - General Surgery 8022909597 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Wake Forest University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carteret Medical Group LLCGroup PAC ID 5698947794, 65 clinicians

Practice addresses (Care Compare)

1165 Cedar Point Blvd
Cedar Point, NC 28584-1030

302 Medical Park CT
Morehead City, NC 28557-4346
Phone (252) 247-2013

306 Medical Park CT
Morehead City, NC 28557-4346
Phone (252) 247-2101

3500 Arendell St
Morehead City, NC 28557-2901
Phone (252) 247-2013

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.19 of 100Reported as group
Quality
84.52
Promoting interoperability
100
Improvement activities
40
Cost
82.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200300816NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carteret County General Hospital Corporation CurrentSince Oct 24, 2024 Accepting new patients
Carolinas Urgent and Primary Care, P.a. CurrentSince Jan 1, 2025 Accepting new patients
Carteret Medical Group LLC CurrentSince Oct 24, 2024 Accepting new patients

Locations

1165 Cedar Point Blvd
Ste H
Cedar Point, NC 28584
Phone (252) 499-6850

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

302 Medical Park Ct
Morehead City, NC 28557
Phone (252) 247-2013

306 Medical Park Ct
Morehead City, NC 28557
Phone (252) 247-2013

Interoperability endpoints

  • Direct secure messaging: john.johnson.1@9526.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15484/brand/1/csg/1/fhir/r4
  • Direct secure messaging: john.johnson.2@15484.direct.athenahealth.com

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1821197609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 MEDICAL PARK CT",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574346",
            "telephone_number": "252-247-2101",
            "fax_number": "252-247-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 MEDICAL PARK CT",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574346",
            "telephone_number": "252-247-2101",
            "fax_number": "252-247-4675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2145 Country Club Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285460128",
            "country_code": "US",
            "telephone_number": "910-939-5759",
            "fax_number": "252-247-4675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOHN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "200300816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89134V5",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.johnson.1@9526.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "306 Medical Park Ct",
            "city": "Morehead City",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285574346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

Verify at the official NPI Registry.