Individual provider Active NPI

Elizabeth Jane Johnson, M.D.

  • Emergency Medicine Physician
  • Spartanburg, SC
National Provider Identifier
1982043725
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
91498 Issued in SC
Practice address
101 E Wood St
Spartanburg, SC 29303-3040
Phone
(864) 560-7025
Fax
(864) 560-7388
NPI assigned
Jun 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X V3775 TX
Emergency Medicine Physician 207P00000X 91498 SC Primary
Emergency Medicine Physician 207P00000X 25MA10344400 NJ

Addresses

Primary practice location

101 E Wood St
Spartanburg, SC 29303-3040

Mailing address

PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304

Other practice location 1

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, TN, SC, TX5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20180806001451 NJ Practitioner - Emergency Medicine 9436407582 Reassigns benefits to 1 organization
I20230612002989 NY Practitioner - Emergency Medicine 9436407582 Reassigns benefits to 1 organization
I20250115001878 TN Practitioner - Emergency Medicine 9436407582 Reassigns benefits to 1 organization
I20250905001148 SC Practitioner - Emergency Medicine 9436407582 Reassigns benefits to 1 organization
I20260627000649 TX Practitioner - Emergency Medicine 9436407582

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians
Sound Physicians Emergency Medicine of South Carolina LLCGroup PAC ID 2163702739, 48 clinicians

Practice addresses (Care Compare)

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-7025

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 553-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10344400NJMDEmergency Medicine Physician
91498SCMDEmergency Medicine Physician
V3775TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
T M Carr MD PC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Garden State Healthcare Associates, LLC Emergency Medicine CurrentSince Aug 6, 2018 Accepting new patients
Hospitalist Medicine Physicians of New York, PLLC Emergency Medicine CurrentSince May 7, 2023 Accepting new patients
Ijkg Opco LLC Current Accepting new patients
Sound Physicians Emergency Medicine of South Carolina LLC Emergency Medicine CurrentSince Jun 15, 2025 Accepting new patients

Locations

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

2475 Saint Raymonds Ave
Bronx, NY 10461
Phone (718) 430-7300

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

Interoperability endpoints

  • Direct secure messaging: elizabeth.johnson@direct.bayonnemedicalcenter.md

Organizations & group practices 5

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 10

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

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1982043725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E WOOD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033040",
            "telephone_number": "864-560-7025",
            "fax_number": "864-560-7388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Willow Ave",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "07030",
            "country_code": "US",
            "telephone_number": "201-418-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "V3775",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "91498",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA10344400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.