Individual provider Active NPI

Lauren Johnson, CNM, WHNP-BC, RN

  • Advanced Practice Midwife
  • Jacksonville, NC
National Provider Identifier
1871239202
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
363264 Issued in NC
Practice address
310 New Bridge St
Jacksonville, NC 28540-4756
Phone
(910) 621-4266
NPI assigned
May 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CNM07646 GA
Advanced Practice Midwife 367A00000X 363264 NC Primary

Addresses

Primary practice location

310 New Bridge St
Jacksonville, NC 28540-4756

Mailing address

310 New Bridge St
Jacksonville, NC 28540-4756
Phone (910) 621-4266

Other practice location 1

245 Memorial Dr
Jacksonville, NC 28546-6333
Phone (910) 353-4333

Other names 1

  • Miss Lauren Radney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220722000907 GA Practitioner - Certified Nurse Midwife (CNM) 5092196006 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
CNM07646GAMDAdvanced Practice Midwife
363264NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Physician Practices LLC Current Accepting new patients
St. Francis Physician Practices LLC CurrentSince Sep 1, 2022 Accepting new patients
St Francis Physician Practices LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

2300 Manchester Expy
Ste B001
Columbus, GA 31904
Phone (706) 257-7411

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Organizations & group practices 3

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": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1871239202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 NEW BRIDGE ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404756",
            "telephone_number": "910-621-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 NEW BRIDGE ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404756",
            "telephone_number": "910-621-4266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285466333",
            "country_code": "US",
            "telephone_number": "910-353-4333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "CNM, WHNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "CNM07646",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "363264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "RADNEY",
            "prefix": "MISS",
            "credential": "CNM, WHNP-BC, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.