NPIMap

Individual provider Active NPI

Donovan Whitney Johnson, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Conway, SC
National Provider Identifier
1952781734
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
86405 Issued in SC
Practice address
8004 Myrtle Trace Drive
Suite 200
Conway, SC 29526-8945
Phone
(843) 347-8041
Fax
(843) 347-8042
NPI assigned
Jun 5, 2015
Last updated
Nov 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 86405 SC Primary

Addresses

Primary practice location

8004 Myrtle Trace Drive
Suite 200
Conway, SC 29526-8945

Mailing address

300 Singleton Ridge Rd
Attention Credentialing
Conway, SC 29526-9142

Other practice location 1

1413 Highway 17 N
Surfside Beach, SC 29575-6012
Phone (843) 347-8041

Other practice location 2

6010 Highway 707
Ste 300
Myrtle Beach, SC 29588-7321
Phone (843) 347-8041

Other practice location 3

1100 62nd Ave N
Myrtle Beach, SC 29572-7202
Phone (843) 347-8041

Other identifiers 1

IdentifierTypeStateIssuer
864050MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210901000089 SC Practitioner - Orthopedic Surgery 1456757350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conway Hospital IncGroup PAC ID 7113839606, 127 clinicians

Practice addresses (Care Compare)

6010 Hwy 707
Suite 300
Myrtle Beach, SC 29588-7321
Phone (843) 347-8953

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
52.78 of 100Reported as group
Quality
55.48
Improvement activities
0
Cost
74.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement31
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)113
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Hospital, Inc. Current Accepting new patients
Conway Hospital, Inc. Sports Medicine Current Accepting new patients
Conway Hospital, Inc. CurrentSince Sep 7, 2021 Accepting new patients
Conway Hospital, Inc. Past Accepting new patients

Locations

2376 Cypress Cir
Ste 300
Conway, SC 29526
Phone (843) 347-7222

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

394 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-8050

8004 Myrtle Trace Dr
Ste 200
Conway, SC 29526
Phone (843) 347-8041

1100 62nd Ave N
Myrtle Beach, SC 29572
Phone (843) 347-8041

1413 Highway 17 N
Surfside Beach, SC 29575
Phone (843) 238-5654

Interoperability endpoints

  • Direct secure messaging: donovan.johnson@conwaymedicalcenter.cernerdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1952781734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "address_2": "ATTENTION CREDENTIALING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8004 MYRTLE TRACE DRIVE",
            "address_2": "SUITE 200",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268945",
            "telephone_number": "843-347-8041",
            "fax_number": "843-347-8042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1413 Highway 17 N",
            "address_purpose": "LOCATION",
            "city": "Surfside Beach",
            "state": "SC",
            "postal_code": "295756012",
            "country_code": "US",
            "telephone_number": "843-347-8041",
            "fax_number": "843-347-8042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6010 Highway 707",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295887321",
            "country_code": "US",
            "telephone_number": "843-347-8041",
            "fax_number": "843-347-8042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 62nd Ave N",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295727202",
            "country_code": "US",
            "telephone_number": "843-347-8041",
            "fax_number": "843-347-8042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DONOVAN",
        "middle_name": "WHITNEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "SC",
            "license": "86405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "864050",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.