Individual provider Active NPI

Lindsey C Johnson, NP

  • Family Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1841242070
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2744 Issued in SC
Practice address
27 Gamecock Ave
Charleston, SC 29407-3398
Phone
(843) 769-8215
Fax
(843) 769-8216
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2744 SC Primary

Addresses

Primary practice location

27 Gamecock Ave
Charleston, SC 29407-3398

Mailing address

27 Gamecock Ave
Charleston, SC 29407-3398
Phone (843) 769-8215

Other identifiers 1

IdentifierTypeStateIssuer
NP0946MedicaidSC

Other names 1

  • Lindsey C Stockton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2744SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
John E. Emmel, MD, PC CurrentSince Sep 1, 2005 Accepting new patients
SLM Group Past Accepting new patients

Locations

27 Gamecock Ave
Ste 201
Charleston, SC 29407
Phone 8437698215 ext. 10

3647 Maybank Hwy
Johns Island, SC 29455
Phone (843) 277-8914

1049 Anna Knapp Blvd
#B
Mt Pleasant, SC 29464
Phone (843) 849-8800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1841242070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 GAMECOCK AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073398",
            "telephone_number": "843-769-8215",
            "fax_number": "843-769-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 GAMECOCK AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073398",
            "telephone_number": "843-769-8215",
            "fax_number": "843-769-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LINDSEY",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "2744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0946",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "STOCKTON",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.