Charita Monica Johnson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20548 Issued in SC

Practice address

1317 Ebenezer Rd
LTC Health Solutions
Rock Hill, SC 29732

Phone

(803) 207-8200

Fax

(803) 207-8207

NPI assigned

Oct 24, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Medicine FoundationGroup PAC ID 4880687490, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Musc Health Chester Medical Center Hospital, Chester, SC, CCN 420019

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charita.johnson.p1@direct.ncfmc.nextgenshare.com

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.

• Community Medicine Foundation

  • Federally Qualified Health Center (FQHC)
  • Rock Hill, SC
  • NPI 1528004918
  Medicare reassignment Care Compare group NPD
• Lowcountry Urgent Care LLC

  • Primary Care Nurse Practitioner
  • Beaufort, SC
  • NPI 1326364100
  Medicare reassignment NPD
• Community Medicine Foundation

  • Federally Qualified Health Center (FQHC)
  • Chester, SC
  • NPI 1548914773
  NPD
• Community Medicine Foundation

  • Federally Qualified Health Center (FQHC)
  • Chester, SC
  • NPI 1356618318
  NPD (past)

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

• Medical University Hospital Authority

  • General Acute Care Hospital
  • Chester, SC
  • NPI 1437622933
  Care Compare affiliation

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1942752076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 MAIN STREET",
            "address_2": "AGAPE SENIOR PRIMARY CARE, INC., DBA LTC HEALTH SOLUTIO",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29201",
            "telephone_number": "803-726-2350",
            "fax_number": "803-404-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 EBENEZER RD",
            "address_2": "LTC HEALTH SOLUTIONS",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-207-8200",
            "fax_number": "803-207-8207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Clemson Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292296545",
            "country_code": "US",
            "telephone_number": "803-419-4002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHARITA",
        "middle_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnson Way Transport LLC
• Alicia Johnson
• Atavious A Johnson
• Brandon Johnson
• Britanica N. Johnson, M.ED., LPC, LCMHC-A,
• Doretta Johnson, CNA
• Emily Louise Johnson, MSW
• Eric Gordon Johnson, MD
• Erica Johnson, RN
• Heather Johnson, D.D.S.

• Family Nurse Practitioner in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.