Individual provider Active NPI

William Johnson, M.D.

  • Ophthalmology Physician
  • Greenville, SC
National Provider Identifier
1942689690
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
38225 Issued in SC
Practice address
1126 Grove Rd
Greenville, SC 29605-4620
Phone
(864) 233-5722
Fax
(864) 233-6027
NPI assigned
May 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD-49615 IA
Ophthalmology Physician 207W00000X 38225 SC Primary
Ophthalmology Physician 207W00000X 086300 GA

Addresses

Primary practice location

1126 Grove Rd
Greenville, SC 29605-4620

Mailing address

1126 Grove Rd
Greenville, SC 29605-4620
Phone (864) 233-5722

Other practice location 1

435 Epting Ave
Greenwood, SC 29646-4041
Phone (864) 233-5722

Other practice location 2

1655 E Greenville St
Anderson, SC 29621-2062
Phone (864) 233-5722

Other practice location 3

479 Heywood Ave
Spartanburg, SC 29307-1726
Phone (864) 582-8287

Other practice location 4

528 Old Greenville Hwy
Clemson, SC 29631-1750
Phone (864) 233-5722

Other identifiers 1

IdentifierTypeStateIssuer
382259MedicaidSC

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
I20240523001832 SC Practitioner - Ophthalmology 1254631583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical University of South Carolina College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants of Carolina, PAGroup PAC ID 2163559477, 11 clinicians

Practice addresses (Care Compare)

1126 Grove Rd
Greenville, SC 29605-4620
Phone (864) 233-5722

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
086300GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants of Carolina, PA Ophthalmology CurrentSince Jul 1, 2024 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

1655 E Greenville St
Anderson, SC 29621
Phone (803) 224-6375

528 Old Greenville Hwy
Clemson, SC 29631
Phone (864) 233-5722

1126 Grove Rd
Greenville, SC 29605
Phone (864) 233-5722

435 Epting Ave
Greenwood, SC 29646
Phone (864) 227-2822

480 N Church St
Spartanburg, SC 29303
Phone (864) 233-5722

479 Heywood Ave
Spartanburg, SC 29307
Phone (864) 583-6381

Interoperability endpoints

  • Direct secure messaging: wjohnson897390@direct.unitypoint.org
  • Direct secure messaging: wjohnson@rcc.intellechartdirect.net

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.

Hospital & facility affiliations 43

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1942689690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054620",
            "telephone_number": "864-233-5722",
            "fax_number": "864-233-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054620",
            "telephone_number": "864-233-5722",
            "fax_number": "864-233-6027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 Epting Ave",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296464041",
            "country_code": "US",
            "telephone_number": "864-233-5722",
            "fax_number": "864-233-6027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1655 E Greenville St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296212062",
            "country_code": "US",
            "telephone_number": "864-233-5722",
            "fax_number": "864-233-6027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "479 Heywood Ave",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293071726",
            "country_code": "US",
            "telephone_number": "864-582-8287",
            "fax_number": "864-585-6392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "528 Old Greenville Hwy",
            "address_purpose": "LOCATION",
            "city": "Clemson",
            "state": "SC",
            "postal_code": "296311750",
            "country_code": "US",
            "telephone_number": "864-233-5722",
            "fax_number": "864-233-6027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-28",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "MD-49615",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "38225",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "086300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382259",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.