Robert Duren Johnson Jr., MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

8389 Issued in SC

Practice address

672 Highway 9 W
Bennettsville, SC 29512-2130

Phone

(843) 479-2402

Fax

(843) 479-6609

NPI assigned

Mar 1, 2006

Last updated

Mar 7, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Palmetto Pathology of Lancaster P.a.

  • Anatomic Pathology & Clinical Pathology Physician
  • Lancaster, SC
  • NPI 1336109081
  Authorized official Same address or phone
• Carolina Regional Associates of Pathology

  • Clinical Medical Laboratory
  • Bennettsville, SC
  • NPI 1083702542
  NPD (past)
• Marlboro Chesterfield Pathology, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Pinehurst, NC
  • NPI 1649873647
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1831166628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 GREAT FALLS HWY",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297207168",
            "telephone_number": "803-286-1586",
            "fax_number": "803-313-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 HIGHWAY 9 W",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295122130",
            "telephone_number": "843-479-2402",
            "fax_number": "843-479-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "DUREN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SC",
            "license": "8389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Veretta James, APRN-BC; FNP-C
• Jireh Healthcare
• David Scott Johnson, O.D.
• Renesha Johnson, BS-PSYCHOLOGY
• Rhonda Johnson
• Scott Johnson
• Jonellda Educational Services
• Linda K. Jones
• Patricia Dena Jordan, MED
• Carla Redding Julian, PHARMD

• Anatomic Pathology & Clinical Pathology Physician in Bennettsville, SC
• Providers in Bennettsville, SC by specialty
• Anatomic Pathology & Clinical Pathology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.