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

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 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083894",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "4469",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE LICENSE NUMBER",
            "identifier": "30048",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BCBS GROUP NUMBER",
            "identifier": "0120X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAL LICENSE NUMBER",
            "identifier": "8389",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID GROUP NUMBER",
            "identifier": "GP0789",
            "state": "SC"
        }
    ],
    "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.