NPIMap

Individual provider Active NPI

Colton Tyler Johnson, MD

  • Family Medicine Physician
  • Barnwell, SC
National Provider Identifier
1982263323
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
88582 Issued in SC
Practice address
86 Wren St
Barnwell, SC 29812-1529
Phone
(803) 450-1397
Fax
(803) 259-3250
NPI assigned
Jun 10, 2019
Last updated
May 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 88582 SC Primary
Family Medicine Physician 207Q00000X 112270 GA
Family Medicine Physician 207Q00000X 11020581A IN

Addresses

Primary practice location

86 Wren St
Barnwell, SC 29812-1529

Mailing address

86 Wren St
Barnwell, SC 29812-1529
Phone (803) 450-1397

Other practice location 1

907 Startek Dr
Myrtle Beach, SC 29579-4471
Phone (843) 646-8350

Other practice location 2

750 Broadway Ste 350
Fort Wayne, IN 46802-1412
Phone (260) 423-2675

Other practice location 3

586 Brannen St
Statesboro, GA 30458-5557
Phone (912) 871-6611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221213001785 SC Practitioner - Family Practice 6800121021 Reassigns benefits to 2 organizations
I20260514004535 GA Practitioner - Family Practice 6800121021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Low Country Health Care System IncGroup PAC ID 4284530940, shared by 10 NPIs, 33 clinicians

Practice addresses (Care Compare)

124 Wren St
Barnwell, SC 29812-1527
Phone (803) 259-5762

333 Revoluntionary Trail
Fairfax, SC 29827-7109

333 Revolutionary TRL
Fairfax, SC 29827-7109
Phone (803) 632-2533

86 Wren St
Barnwell, SC 29812-1529
Phone (803) 259-5762

914 Barnwell Rd
Barnwell, SC 29812

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112270GAMDFamily Medicine Physician
88582SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Low Country Health Care System, Inc Current Accepting new patients
Low Country Health Care System, Inc. CurrentSince Sep 17, 2024 Accepting new patients
Low Country Health Care System, Inc. Current Accepting new patients
Low Country Health Care System, Inc CurrentSince Nov 16, 2024 Accepting new patients
Low Country Health Care System, Inc CurrentSince Sep 17, 2024 Accepting new patients
Low Country Health Care System, Inc Past Accepting new patients

Locations

185 McGee St
Bamberg, SC 29003
Phone (803) 245-4327

124 Wren St
Barnwell, SC 29812
Phone (803) 254-3278

86 Wren St
Barnwell, SC 29812
Phone (803) 259-5762

333 Revolutionary Trl
Fairfax, SC 29827
Phone (803) 632-2533

Interoperability endpoints

  • Direct secure messaging: cjohnson32539@directmcleodehealth.org

Organizations & group practices 7

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 7

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1982263323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 WREN ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121529",
            "telephone_number": "803-450-1397",
            "fax_number": "803-259-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 WREN ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121529",
            "telephone_number": "803-450-1397",
            "fax_number": "803-259-3250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 Startek Dr",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295794471",
            "country_code": "US",
            "telephone_number": "843-646-8350",
            "fax_number": "843-646-8753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Broadway Ste 350",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468021412",
            "country_code": "US",
            "telephone_number": "260-423-2675",
            "fax_number": "260-423-6621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "586 Brannen St",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304585557",
            "country_code": "US",
            "telephone_number": "912-871-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "COLTON",
        "middle_name": "TYLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "88582",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "112270",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11020581A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnwell, SC

Sources for this page

Verify at the official NPI Registry.