JOHNSTON FAMILY MEDICINE, PA (NPI# 1548331333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548331333 |
| Entity Type | Organization |
| Organization Name | JOHNSTON FAMILY MEDICINE, PA |
| Practice Address |
713 Wilkins St Smithfield NC 27577 |
| Mailing Address |
713 Wilkins St Smithfield NC 27577-4647 |
| Practice Telephone | 9199341211 |
| Practice Fax Number | 9199898189 |
| Mailing Telephone | 9199341211 |
| Mailing Fax Number | 9199898189 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2009-12-21 |
| Authorized Official Name | DR. RENEE GODWIN WATSON (PHYSICIAN) |
| Authorized Official Telephone | 9199341211 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 9601754 | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS GRP | 02003 | 01 | |
| NC | 8902003 | 05 |
| Street Address |
713 WILKINS ST |
| City | SMITHFIELD |
| State | NC |
| Zip Code | 27577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669420089 | Renee G Watson | Family Medicine | 713 Wilkins St, Smithfield, NC 27577-4647 | 2006-05-05 |
| 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 |
| Find all providers in zip 27577 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205374709 | The Raven | Family Medicine | 1652 E Booker Dairy Rd, Smithfield, NC 27577-9405 | 2017-02-03 |
| 1548465735 | Smithfield Family Practice Pa | Family Medicine | 1551 E Booker Dairy Rd, Smithfield, NC 27577-9472 | 2007-06-18 |
| 1538254388 | Steven Edward Landau | Family Medicine | 707 Wilkins St, Smithfield, NC 27577-4647 | 2006-10-04 |
| 1598877359 | Brian Keith Harris | Family Medicine | 410 Canterbury Rd, Smithfield, NC 27577-4861 | 2006-08-31 |
| 1316970908 | Raghu R Katuru | Family Medicine | 1551 Booker Dairy Rd, Smithfield, NC 27577-9472 | 2006-07-08 |
| 1669420089 | Renee G Watson | Family Medicine | 713 Wilkins St, Smithfield, NC 27577-4647 | 2006-05-05 |
| 1063472462 | Marie Luise Zaldivar | Family Medicine | 127 E Market St, Smithfield, NC 27577-3915 | 2006-03-28 |
| 1992765531 | Todd Alma Brown | Family Medicine | 291 S Main St, Suite C, Smithfield, UT 84335-1902 | 2006-03-27 |
| 1760466841 | Donald Wayne Lundie | Family Medicine | 919 S Church St, Smithfield, VA 23430-1715 | 2005-12-02 |
| 1154305498 | Miroslav Gavazov | Family Medicine | 861 Berkshire Rd, Smithfield, NC 27577-4728 | 2005-11-30 |
| Find all providers in SMITHFIELD | ||||
| City | SMITHFIELD |
| Zip Code | 27577 |
Please comment or provide details below to improve the information on JOHNSTON FAMILY MEDICINE, PA.
| 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.