JOHNSTON SPECIALTY PHYSICIAN SERVICES, INC.


Address: 507 N Brightleaf Blvd, Suite 100, Smithfield, NC 27577-4405
Phone: 9199343022

JOHNSTON SPECIALTY PHYSICIAN SERVICES, INC. (NPI# 1528404415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528404415
Entity Type Organization
Organization Name JOHNSTON SPECIALTY PHYSICIAN SERVICES, INC.
Other Organization Name JOHNSTON MEDICAL ASSOCIATES SPECIALTY SERVICES
Practice Address 507 N Brightleaf Blvd
Suite 100
Smithfield
NC 27577-4405
Practice Telephone 9199343022
Practice Fax Number 9199344133
Mailing Telephone 9199343022
Mailing Fax Number 9199344133
Enumeration Date 2013-05-17
Last Update Date 2013-05-20
Authorized Official Name MS. TRACEY WOORUFF (ADMINISTRATIVE DIRECTOR)
Authorized Official Telephone 9199387374
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204D00000X Neuromusculoskeletal Medicine & OMM Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Johnston Medical Associates Specialty Services Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1649786567 Johnston Specialty Physician Services, Inc. Internal Medicine 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577-4487 2017-12-15
1801344395 Johnston Specialty Physician Services, Inc. Internal Medicine 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 2016-09-14
1497031827 Johnston Specialty Physician Services, Inc. Internal Medicine 514 N Brightleaf Blvd, Suite 1610, Smithfield, NC 27577-4407 2011-10-31

Office Location

Street Address 507 N BRIGHTLEAF BLVD
SUITE 100
City SMITHFIELD
State NC
Zip Code 27577-4405

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659304848 Private Diagnostic Clinic, Pllc Internal Medicine 507 N Brightleaf Blvd, Suite 100, Smithfield, NC 27577-4405 2006-07-09
1649411505 William Hawkins Physician Assistant 507 N Brightleaf Blvd, Suite 100, Smithfield, NC 27577-4405 2009-03-23
1720224157 Amanda Jo-lynne Pollard Physician Assistant 507 N Brightleaf Blvd, Suite 209, Smithfield, NC 27577-4405 2009-01-07
1235304825 James Alexis Macdonald Jr. Psychiatry & Neurology 507 N Brightleaf Blvd, Suite 100, Smithfield, NC 27577-4405 2008-04-24
1407039324 Tri County Community Health Council Inc Clinic/Center 507 N Brightleaf Blvd, Suite 209, Smithfield, NC 27577-4405 2007-12-13
1184815581 Johnston Memorial Hospital Authority Internal Medicine 507 N Brightleaf Blvd, Suite 201 Medical Arts Bldg, Smithfield, NC 27577-4405 2007-08-09
1447478771 Mohamed & Associates Urology Center, Pa Registered Nurse 507 N Brightleaf Blvd, Suite 205, Smithfield, NC 27577-4405 2007-04-23
1194869537 Robert G Lippitt Urology 507 N Brightleaf Blvd, Suite 205, Smithfield, NC 27577-4405 2007-02-19
1750425195 Adel W Mohamed Urology 507 N Brightleaf Blvd, Suite 205, Smithfield, NC 27577 2007-02-19
1932125432 Private Diagnostic Clinic, Pllc Orthopaedic Surgery 507 N Brightleaf Blvd, Suite 100, Smithfield, NC 27577-4405 2006-07-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851919047 Sherwin Cuaresma Bernardino Physical Therapist Meadowview Assisted Living Center, 250 Nc-210, Smithfield, NC 27577 2020-07-14
1386297299 Johnston Opco, LLC Non-emergency Medical Transport (VAN) 200 Kellie Dr, Smithfield, NC 27577 2019-07-19
1790255362 Adrian Brook Taylor Physical Therapist 540 North Street, Smithfield, NC 27577 2018-11-27
1497260608 Providence Healthcare of The Carolinas Assisted Living Facility 4302 Hwy Nc 210, Smithfield, NC 27577 2017-12-11
1720593908 Latorya Delois Moore Nurse Practitioner 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 2017-12-09
1124546171 Walgreen Co Durable Medical Equipment & Medical Supplies 104 N Brightleaf Blvd, Smithfield, NC 27577 2017-08-30
1316482201 Providence Pain, Spine & Recovery, Pllc Anesthesiology 7 Berkshire Rd, Smithfield, NC 27577 2016-12-30
1407203318 Linda Pearl Trujillo Early Intervention Provider Agency 623 Tralee Dr, Smithfield, NC 27577 2016-05-20
1336500206 Saundra Casey Counselor 15 Noble Street, Smithfield, NC 27577 2016-03-18
1639537707 Ralph Edwin Wilson Jr. Physician Assistant 100 Kellie Drive, Smithfield, NC 27577 2016-02-04
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Taxonomy Information

Taxonomy Code 204D00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neuromusculoskeletal Medicine & OMM

Taxonomy Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition]
- Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750761409 Nicole Maree Rice Neuromusculoskeletal Medicine & OMM 690 Sunset Blvd N Ste 109, Sunset Beach, NC 28468-5610 2015-06-08
1912021692 Carteret Pain Medicine, Pllc Neuromusculoskeletal Medicine & OMM 5053 Executive Dr Ste B, Morehead City, NC 28557-2506 2007-03-19
1114944907 Eric J Rentz Neuromusculoskeletal Medicine & OMM 100 Honey Bear Ln, Banner Elk, NC 28604-6802 2006-07-16
1184667883 James Bryan Cox Neuromusculoskeletal Medicine & OMM 721 D Malcolm Blvd, Rutherford College, NC 28671-2867 2006-06-13
1942257118 The Andersen Clinic PC Neuromusculoskeletal Medicine & OMM 5045 Hendersonville Rd, Fletcher, NC 28732-6606 2006-05-31
1396706156 Charles Hubert Hutchins Neuromusculoskeletal Medicine & OMM 750 Cox Rd, Gastonia, NC 28054-3481 2006-03-31
1245870484 Compass Functional Medicine Pllc Neuromusculoskeletal Medicine & OMM 3706 Morganton Rd, Fayetteville, NC 28303-4963 2020-01-15
1689019259 Ecu Medicine Neurology Services Neuromusculoskeletal Medicine & OMM 2280 Hemby Ln, Greenville, NC 27834-3773 2013-05-08
1063708378 Megan P. Johnson Neuromusculoskeletal Medicine & OMM 214 E Elm St, Graham, NC 27253-3022 2011-06-24
1952626384 Blue Ridge Healthcare Medical Group, Inc Neuromusculoskeletal Medicine & OMM 301 Linville Street, Glen Alpine, NC 28628 2010-03-29
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Competitor

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City SMITHFIELD
Zip Code 27577

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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