Active NPI
Scott Hazlehurst Johnson, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Grand Blanc, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 4301087166
- Practice address
- 1 Genesys Pkwy Ste 3452
Grand Blanc, MI 48439-8065 - Phone
- (248) 849-2600
- Fax
- (248) 849-2610
- NPI assigned
- Sep 21, 2006
- Last updated
- Jul 15, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 36390 | SC | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 4301087166 | MI | Primary |
Addresses
Primary practice location
1 Genesys Pkwy Ste 3452
Grand Blanc, MI 48439-8065
Mailing address
16001 W 9 Mile Rd # 3
Southfield, MI 48075-4818
Phone (248) 849-2600
Other practice location 1
890 W Faris Rd
Suite 550
Greenville, SC 29605-4253
Phone (864) 455-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- Duke University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
425 W 3Rd Ave
Suite 510
Albany, GA 31701-1959
Phone (229) 312-5133
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36390 | SC | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesys Practice Partners Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Musc Community Physicians | Current | Accepting new patients | |
| Genesys Practice Partners, Inc | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Genesys Practice Partners Inc | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Cardiac Surgery Associates SC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Genesys Practice Partners Inc | Past | Accepting new patients | |
| Mercy Clinic Cardiovascular and Thoracic Surgery, LLC | Past | Accepting new patients | |
| Phoebe Putney Memorial Hospital Inc | Past | Accepting new patients |
Locations
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
425 W 3rd Ave
Ste 510
Albany, GA 31701
Phone (229) 312-7500
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
1460 N Center Rd
Burton, MI 48509
Phone (810) 424-2011
1 Genesys Pkwy
Ste 3452
Grand Blanc, MI 48439
Phone (248) 849-2600
1400 Genesys Pkwy
#B136
Grand Blanc, MI 48439
Phone (810) 606-7629
3399 Pollock Rd
Ste A
Grand Blanc, MI 48439
Phone (810) 606-7550
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
Interoperability endpoints
- scott.johnson.1@8478.direct.athenahealth.com
- scott.johnson@phoebehealth.gadirect.net
Organizations & group practices 12
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.
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Family Medicine Physician
- Grand Blanc, MI
- NPI 1982647004
-
dba GHS Patewood Memorial Hospital
- General Acute Care Hospital
- Greenville, SC
- NPI 1568532513
-
dba MUSC Community Physicians Specialty
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
dba Henry Ford Genesys Group
- Family Medicine Physician
- Grand Blanc, MI
- NPI 1194774752
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
dba Gensys Inpatient Psychiatry
- Psychiatry Physician
- Grand Blanc, MI
- NPI 1336842160
-
dba MUSC Health Primary Care - Bowman
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
dba MUSC Community Physicians PC
- Family Medicine Physician
- Bamberg, SC
- NPI 1992383145
-
- Physician Assistant
- Grand Blanc, MI
- NPI 1114060837
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Downers Grove, IL
- NPI 1043269160
-
- Vascular Surgery Physician
- Washington, MO
- NPI 1528192416
-
dba Phoebe Putney Memorial Hosptial
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Phoebe Putney Memorial Hosptial
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626307200000",
"number": "1962500900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16001 W 9 MILE RD # 3",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754818",
"telephone_number": "248-849-2600",
"fax_number": "248-849-2610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GENESYS PKWY STE 3452",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398065",
"telephone_number": "248-849-2600",
"fax_number": "248-849-2610"
}
],
"practiceLocations": [
{
"address_1": "890 W Faris Rd",
"address_2": "Suite 550",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296054253",
"country_code": "US",
"telephone_number": "864-455-6800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "SCOTT",
"middle_name": "HAZLEHURST",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "SC",
"license": "36390",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MI",
"license": "4301087166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.