Jill Johnson Price, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2022-00997 Issued in NC

Practice address

4355 Hickory Blvd Ste 2
Granite Falls, NC 28630-2014

Phone

(828) 757-5050

NPI assigned

Apr 2, 2019

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

Other names 1

• Jill Ashlyn Johnson Former name

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jjohnson531861@direct.unc.nchie.net

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.

• Caldwell Memorial Hospital, Inc

  • Pediatrics Physician
  • Lenoir, NC
  • NPI 1922013457
  NPD (past)

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1972065639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 HICKORY BLVD STE 2",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286302014",
            "telephone_number": "828-757-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 HICKORY BLVD STE 2",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286302014",
            "telephone_number": "828-757-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JILL",
        "middle_name": "JOHNSON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2022-00997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "JOHNSON",
            "middle_name": "ASHLYN",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittany Megan Petersen
• Emily Pitts, LCSW
• Premier Homecare, LLC
• Premier Homecare, LLC
• Premier Homecare. LLC
• Prime Surgical Suites, LLC
• Donna Duncan Prince
• Angela Moore Quigley, LCMHC
• Maria Cazares Ramon, LCSWA
• Ray of Hope Counseling and Wellness PLLC

• Pediatrics Physician in Granite Falls, NC
• Providers in Granite Falls, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.