Individual provider Active NPI

Victoria Johnson, NP

  • Family Nurse Practitioner
  • Boiling Springs, SC
National Provider Identifier
1871304360
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29865 Issued in SC
Practice address
2746 Boiling Springs Rd
Boiling Springs, SC 29316-6003
Phone
(864) 586-3923
NPI assigned
Jan 15, 2025
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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 29865 SC Primary

Addresses

Primary practice location

2746 Boiling Springs Rd
Boiling Springs, SC 29316-6003

Mailing address

569 Hillpark LN
Greer, SC 29651-0801

Other practice location 1

1298 Woodruff Rd
Greenville, SC 29607-5754
Phone (864) 236-4700

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250404001646 SC Practitioner - Nurse Practitioner 1951825587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Ambulatory Services - St. Francis, LLCGroup PAC ID 0840590931, 57 clinicians

Practice addresses (Care Compare)

1467 Woodruff Rd
Suite C
Greenville, SC 29607-6505
Phone (864) 458-8126

8161 Warren H Abernathy Hwy
Spartanburg, SC 29301-2451
Phone (864) 757-5059

925 W Butler Rd
Greenville, SC 29607-4841
Phone (864) 757-5059

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29865SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Ambulatory Services - St. Francis, LLC CurrentSince Mar 24, 2025 Accepting new patients
Woodruff Road Urgent Care Center, P.C. CurrentSince Jan 19, 2025 Accepting new patients

Locations

1467 Woodruff Rd
Ste C
Greenville, SC 29607
Phone (864) 458-8126

2746 Boiling Springs Rd
Spartanburg, SC 29316
Phone (864) 586-3923

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1871304360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 HILLPARK LN",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296510801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2746 BOILING SPRINGS RD",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293166003",
            "telephone_number": "864-586-3923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1298 Woodruff Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296075754",
            "country_code": "US",
            "telephone_number": "864-236-4700",
            "fax_number": "864-236-4701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VICTORIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "29865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boiling Springs, SC

Sources for this page

Verify at the official NPI Registry.