NPIMap

Individual provider Active NPI

Mackinsey Diane Johnson, PA-C

  • Physician Assistant
  • Durham, NC
National Provider Identifier
1972373785
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-14614 Issued in NC
Practice address
1301 Fayetteville St
Durham, NC 27707-2398
Phone
(919) 956-4000
NPI assigned
Jan 3, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 14

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 1

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln Community Health Center Incorporated 50 clinicians
Goshen Medical Center Incorporated 96 clinicians

Practice addresses (Care Compare)

1301 Fayetteville St
Durham, NC 27707-2325
Phone (919) 956-4508

444 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0421

460 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0951

801 Tilghman Dr
Suite a
Dunn, NC 28334-4958
Phone (910) 892-4958

Hospital & facility affiliations

  • Betsy Johnson Regional Hospital Hospital, Dunn, NC, CCN 340071

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20241022000086 NC Practitioner - Physician Assistant 0941732440 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Community Health Center Incorporated CurrentSince Apr 6, 2026 Accepting new patients
Goshen Medical Center, Incorporated CurrentSince Nov 1, 2024 Accepting new patients
Lincoln Community Health Center Incorporated CurrentSince Apr 6, 2026 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Nov 1, 2024 Accepting new patients
Goshen Medical Center Incorporated Current Accepting new patients
Goshen Medical Center Incorporated Past Accepting new patients
Goshen Medical Center, Inc Past Accepting new patients

Locations

801 Tilghman Dr
Ste A
Dunn, NC 28334
Phone (910) 892-6500

801 Tilghman Dr
Dunn, NC 28334
Phone (910) 766-3313

1301 Fayetteville St
Durham, NC 27707
Phone (919) 956-4000

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

Interoperability endpoints

  • Direct secure messaging: mjohnson@goshenmedical.cloudcraftdirect.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-14614 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

1301 Fayetteville St
Durham, NC 27707-2398

Mailing address

3207 Gregory Manor CT
Cary, NC 27518-7152
Phone (336) 977-6537

Other practice location 1

3207 Gregory Manor Ct
Cary, NC 27518-7152
Phone (336) 977-6537

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 5, 2026.

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1972373785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 GREGORY MANOR CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187152",
            "telephone_number": "336-977-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 FAYETTEVILLE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072398",
            "telephone_number": "919-956-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3207 Gregory Manor Ct",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187152",
            "country_code": "US",
            "telephone_number": "336-977-6537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MACKINSEY",
        "middle_name": "DIANE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.