NPIMap

Individual provider Active NPI

Kim Graham Johnson, M.D.

  • Behavioral Neurology & Neuropsychiatry Physician
  • Durham, NC
National Provider Identifier
1831432665
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
193643 Issued in NC
Practice address
932 Morreene Rd RM 224
Durham, NC 27705-4410
Phone
(919) 668-2879
Fax
(919) 668-2901
NPI assigned
Mar 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 193643 NC
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 193643 NC Primary

Addresses

Primary practice location

932 Morreene Rd RM 224
Durham, NC 27705-4410

Mailing address

932 Morreene Rd RM 224
Durham, NC 27705-4410
Phone (919) 668-2879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170828002640 NC Practitioner - Psychiatry 4880966753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Pittsburgh School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
193643NCMDBehavioral Neurology & Neuropsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients

Locations

932 Morreene Rd
Durham, NC 27705
Phone (919) 668-2493

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

823 Broad St
Durham, NC 27705
Phone (919) 286-7903

2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111

932 Morreene Rd
Rm 224
Durham, NC 27705
Phone (919) 668-2879

Interoperability endpoints

  • Direct secure messaging: kjohnson147148@direct.medicine.duke.edu

Organizations & group practices 1

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 8

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": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1831432665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 MORREENE RD RM 224",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054410",
            "telephone_number": "919-668-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 MORREENE RD RM 224",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054410",
            "telephone_number": "919-668-2879",
            "fax_number": "919-668-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIM",
        "middle_name": "GRAHAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-29",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "193643",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NC",
            "license": "193643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.