Individual provider Active NPI

Katherine Johnson, MD

  • Diabetology (Family Medicine) Physician
  • Greenwood, SC
National Provider Identifier
1851739676
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetology (Family Medicine) PhysicianTaxonomy code 207QD0401X
License
35716 Issued in SC
Practice address
1132 Spring St
Greenwood, SC 29646-3859
Phone
(864) 725-1680
NPI assigned
Jun 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35716 SC
Diabetology (Family Medicine) Physician 207QD0401X 35716 SC Primary

Addresses

Primary practice location

1132 Spring St
Greenwood, SC 29646-3859

Mailing address

104 Wells Ave
Greenwood, SC 29646-3837
Phone (864) 725-4673

Other practice location 1

6 College St
Due West, SC 29639-9554
Phone (864) 379-2345

Other practice location 2

901 W Greenwood St Ste 1
Abbeville, SC 29620-5727
Phone (864) 366-9681

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140722000206 SC Practitioner - Family Practice 2961628318 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Self Medical GroupGroup PAC ID 6002953916, 393 clinicians
Self Regional HealthcareGroup PAC ID 4082527742, 159 clinicians

Practice addresses (Care Compare)

102 Gregor Mendel Cir
Greenwood, SC 29646-2315
Phone (864) 229-2663

102 Katie CT
Greenwood, SC 29646-4068
Phone (864) 725-7770

1033 Edgefield St
Greenwood, SC 29646-3205
Phone (864) 227-3908

104 Wells Ave
Greenwood, SC 29646-3837

105 Vinecrest CT
Greenwood, SC 29646-8031

109 Liner Dr
Greenwood, SC 29646-2311
Phone (864) 227-6401

1123 Spring St
Greenwood, SC 29646-3833
Phone (864) 450-9036

1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111

1325 Spring St
Greenwood, SC 29646-3875

138 Wells Ave
Greenwood, SC 29646-3837
Phone (864) 725-4138

1506 Spring St
Greenwood, SC 29646-4071
Phone (864) 725-7900

155 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 725-4865

160 Academy Ave
Greenwood, SC 29646-3808
Phone (864) 223-8090

298 Commerce Dr
Newberry, SC 29108-2953
Phone (803) 321-3232

305 W Alexander Ave
A
Greenwood, SC 29646-4009
Phone (864) 725-4111

410 Epting Ave
Greenwood, SC 29646-4040
Phone (864) 725-6042

6 College St
Due West, SC 29639-9554
Phone (864) 379-2345

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35716SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Self Medical Group CurrentSince Jul 1, 2014 Accepting new patients
Self Regional Healthcare Partners CurrentSince Jan 1, 2020 Accepting new patients
Self Regional Healthcare Partners Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
Self Medical Group CurrentSince Jul 1, 2014 Accepting new patients
Abbeville County Memorial Hospital Current Accepting new patients
Abbeville County Memorial Hospital Family Medicine CurrentSince Mar 2, 2025 Accepting new patients
Self Medical Group Current Accepting new patients
Self Regional Healthcare Family Medicine CurrentSince Sep 1, 2018 Accepting new patients
Self Regional Healthcare Past Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients
Self Regional Healthcare Family Medicine Past Accepting new patients

Locations

75 Remittance Dr
Dept 6793
Chicago, IL 60675

75 Remittance Dr
Dept 6764
Chicago, IL 60675

420 Thomson Cir
Abbeville, SC 29620
Phone (864) 366-1649

6 College St
Due West, SC 29639
Phone (864) 379-2345

300 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3174

104 Wells Ave
Greenwood, SC 29646

1132 Spring St
Greenwood, SC 29646
Phone (864) 227-6818

1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111

155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

Organizations & group practices 11

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": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1851739676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WELLS AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463837",
            "telephone_number": "864-725-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 SPRING ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463859",
            "telephone_number": "864-725-1680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 College St",
            "address_purpose": "LOCATION",
            "city": "Due West",
            "state": "SC",
            "postal_code": "296399554",
            "country_code": "US",
            "telephone_number": "864-379-2345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 W Greenwood St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Abbeville",
            "state": "SC",
            "postal_code": "296205727",
            "country_code": "US",
            "telephone_number": "864-366-9681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHERINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "35716",
            "primary": false
        },
        {
            "code": "207QD0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Diabetology",
            "state": "SC",
            "license": "35716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.