Seymour Johnson Medical Group

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

Legal business name

SEYMOUR JOHNSON MEDICAL GROUP

Practice address

2803 Medical Campus Drive
Seymour Johnson AFB, NC 27531-2310

Phone

(919) 722-8257

NPI assigned

Dec 6, 2005

Last updated

Sep 25, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

4TH MEDGRP-SEYMOUR JOHNSONAs reported in NPPES

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

Authorized official

Name

William Condon

Title

Dha Ubo

Phone

(240) 401-3643

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

4TH Medgrp-Seymour Johnson2 organizations share this tax ID, including this one

Part of

4TH Medgrp-Seymour Johnson

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• 4TH Medgrp-Seymour Johnson

  dba DoD SEY-JOHN ePhcy

  • Military/U.S. Coast Guard Pharmacy
  • Seymour Johnson AFB, NC
  • NPI 1811305477
  NPD tax ID

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1831173558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 MEDICAL CAMPUS DRIVE",
            "city": "SEYMOUR JOHNSON AFB",
            "state": "NC",
            "postal_code": "27531",
            "telephone_number": "919-722-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 MEDICAL CAMPUS DRIVE",
            "city": "SEYMOUR JOHNSON AFB",
            "state": "NC",
            "postal_code": "275312310",
            "telephone_number": "919-722-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEYMOUR JOHNSON MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "4TH MEDGRP-SEYMOUR JOHNSON",
        "enumeration_date": "2005-12-06",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DHA UBO",
        "authorized_official_telephone_number": "240-401-3643"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1101X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3429405",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Brian Irvin, MD
• Christopher Gary Keeton
• Rachel Eden Leigh Palmer, DO
• Jennifer Sullivan Price, LCSW
• Kristen Ricker
• Kaitlyn Jessica Shotwell, PA-C
• Conner Owen Sweet
• Jennifer Thomas, RN
• Coleman Woody, MD

• Military/U.S. Coast Guard Outpatient Clinic/Center in Seymour Johnson AFB, NC
• Providers in Seymour Johnson AFB, NC by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; 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.