DR. JANA GAYLE JOHNSON (NPI# 1750397659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750397659 |
| Entity Type | Individual |
| Full Name | DR. JANA GAYLE JOHNSON |
| Credential | M.D. |
| Practice Address |
3024 New Bern Ave Raleigh NC 27610-1247 |
| Practice Telephone | 9193507270 |
| Practice Fax Number | 9193507204 |
| Mailing Telephone | 9193507270 |
| Mailing Fax Number | 9193507204 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2015-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 94-00534 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
94-00534 | NC | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
94-00534 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8946669 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225270952 | Jana D Johnson | Clinical Nurse Specialist | 1720 W Battlefield St, Springfield, MO 65807-5359 | 2009-03-26 |
| 1730681610 | Jana E Johnson | Behavioral Analyst | 10926 S Tryon St Ste E, Charlotte, NC 28273-4154 | 2018-03-06 |
| 1013399690 | Jana E Johnson | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2015-06-19 |
| 1285974550 | Jana L Johnson | Nurse Anesthetist, Certified Registered | 210 9th St Se, Rochester, MN 55904-6756 | 2013-02-25 |
| 1972830834 | Jana Wilkerson Johnson | Occupational Therapist | 1325 E Fortification St, Jackson, MS 39202-2442 | 2009-11-12 |
| 1114097946 | Jana Kay Johnson | Psychologist | 41865 Boardwalk, Suite 215, Palm Desert, CA 92211-9026 | 2006-11-09 |
| 1487730529 | Jana E. Johnson | Speech-Language Pathologist | 600 Park St, Hays, KS 67601-4099 | 2006-10-31 |
| 1295701092 | Jana B Johnson | Dermatology | 6701 S Minnesota Ave, Sioux Falls, SD 57108-2591 | 2006-02-23 |
| Street Address |
3024 NEW BERN AVE |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588664924 | Lynn M Rebello | Pediatrics | 3024 New Bern Ave, Raleigh, NC 27610 | 2005-07-28 |
| 1275158206 | Alejandro Ramirez Lopez | Physician Assistant | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2020-06-16 |
| 1588225759 | Wakemed Specialists Group, LLC | Preventive Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-06-27 |
| 1821659079 | Sharon Elizabeth Booth | Physician Assistant | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-06-27 |
| 1790343366 | Wakemed Specialists Group LLC | Pediatrics | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-30 |
| 1225693419 | Wakemed Specialists Group LLC | Surgery | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1720643927 | Wakemed Specialists Group, LLC | Otolaryngology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1649835836 | Wakemed Specialists Group, LLC | Internal Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1205491487 | Wakemed Specialists Group LLC | Urology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1639734817 | Wakemed Specialists Group, LLC | Nutritionist | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134548811 | Trevor Taylor | Internal Medicine | 3000 New Bern Ave Ste 1140, Raleigh, NC 27610-1231 | 2014-04-10 |
| 1538723184 | Wakemed Specialists Group, LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-04-30 |
| 1922348242 | Advanced Respiratory and Sleep Medicine, Pllc | Internal Medicine | 8315 Six Forks Rd, Suite 101, Raleigh, NC 27615-2941 | 2013-02-22 |
| 1568758365 | Wakemed Faculty Practice Plan | Internal Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2011-06-21 |
| 1457654972 | North Raleigh Sleep Center Pllc | Internal Medicine | 5720 Creedmoor Rd, Suite 203, Raleigh, NC 27612-2256 | 2010-12-06 |
| 1669662201 | Wissam Bader Mansour | Internal Medicine | 3024 New Bern Ave, G03, Raleigh, NC 27610-1247 | 2007-07-30 |
| 1235339599 | Hiren Harshadray Mehta | Internal Medicine | 3000 New Bern Ave, Wakemed, Raleigh, NC 27610-1231 | 2007-07-24 |
| 1609089101 | Adam Michael Peterik | Internal Medicine | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2007-05-08 |
| 1609088970 | Darrin R Hursey | Internal Medicine | 3024 New Bern Avenue, Raleigh, NC 27610 | 2007-05-07 |
| 1831246180 | James Randall Lakey | Internal Medicine | 3024 New Bern Ave, Suite G03, Raleigh, NC 27610-1247 | 2007-01-05 |
| Find all providers in RALEIGH | ||||
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| 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.