DELORES A. JOHNSON (NPI# 1720303043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720303043 |
| Entity Type | Individual |
| Full Name | DELORES A. JOHNSON |
| Credential | FNP |
| Practice Address |
708 S South St Suite 200 Mount Airy NC 27030-4589 |
| Mailing Address |
Po Box 1267 Mount Airy NC 27030-1267 |
| Practice Telephone | 3367864522 |
| Practice Fax Number | 3367893025 |
| Mailing Telephone | 3367864522 |
| Mailing Fax Number | 3367893025 |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2014-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
139733 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | LICENSE | 5004674 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255804001 | Delores Michelle Johnson | Speech-Language Pathologist | 8506 Heatherwick Dr, Brandywine, MD 20613-7881 | 2019-01-04 |
| 1669884011 | Delores Johnson | Specialist | 1760-50th Street West, Birmingham, AL 35208 | 2014-05-20 |
| 1043271778 | Delores Lorraine Johnson | Obstetrics & Gynecology | 2135 Valleygate Drive Suite 101, Fayetteville, NC 28304-4415 | 2006-03-31 |
| 1710504386 | Delores Johnson | Behavioral Analyst | 3350 Shelby St Ste 200, Ontario, CA 91764-5556 | 2020-06-30 |
| 1992112072 | Delores Johnson | Counselor | 671 Hoes Ln W, Piscataway, NJ 08854-8021 | 2014-07-21 |
| 1801226691 | Delores Johnson | Registered Nurse | 5 Remington Dr, Little Rock, AR 72204-8202 | 2013-11-15 |
| 1164670139 | Delores Johnson | Dental Hygienist | 1044 State St, Schenectady, NY 12307-1508 | 2008-09-03 |
| Street Address |
708 S SOUTH ST SUITE 200 |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030-4589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710427091 | Northern Hospital of Surry County | Internal Medicine | 708 S South St, Suite 200, Mount Airy, NC 27030-4589 | 2017-03-06 |
| 1700326089 | Northern Hospital of Surry County | Surgery | 708 S South St, Suite 100, Mount Airy, NC 27030-4589 | 2017-03-06 |
| 1225578792 | Northern Hospital of Surry County | Internal Medicine | 708 S South St, Suite 100, Mount Airy, NC 27030-4589 | 2017-03-03 |
| 1912212028 | Surry Regional Health Services, Inc | Specialist | 708 S South St, Mount Airy, NC 27030-4589 | 2010-08-12 |
| 1922064872 | Blue Ridge Orthopaedics and Sports Medicine Pa | Orthopaedic Surgery | 708 S South St, Mount Airy, NC 27030-4426 | 2006-04-20 |
| 1437118155 | Surry Medical Specialists, Pa | Specialist | 708 S South St, Mount Airy, NC 27030-4426 | 2006-03-21 |
| 1578536074 | David Andrew Majure | Family Medicine | 708 S South St, Suite 200, Mount Airy, NC 27030-4589 | 2006-02-07 |
| 1912995093 | Surry Regional Health Services, Inc. | Surgery | 708 S South St, Suite 100, Mount Airy, NC 27030-4589 | 2005-10-12 |
| 1710975818 | Surry Regional Health Services | Internal Medicine | 708 S South St, Mount Airy, NC 27030-4426 | 2005-10-12 |
| 1184617722 | Charles R. Bokesch | Internal Medicine | 708 S South St, Mount Airy, NC 27030-4589 | 2005-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
| 1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
| 1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
| 1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
| 1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
| Find all providers in zip 27030 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248120 | Rachel Lynn Hauptman | Nurse Practitioner | 2945 Lonesome Dove Rd, Mount Airy, MD 21771-8025 | 2020-09-08 |
| 1447891163 | Roy Williams | Nurse Practitioner | 956 N Main St, Mount Airy, NC 27030-3747 | 2019-10-03 |
| 1487619896 | Rochelle P Dyer | Nurse Practitioner | 1502 S Main St Ste 206, Mount Airy, MD 21771-5363 | 2006-04-19 |
| 1245707272 | Lindsay Erdmann | Nurse Practitioner | 2702 Back Acre Cir Ste 290b, Mount Airy, MD 21771-7769 | 2018-10-29 |
| 1992271209 | Wendi Cheryl Helsabeck | Nurse Practitioner | 905 Rockford St, Mount Airy, NC 27030-5323 | 2018-10-15 |
| 1346715695 | Virginia Clement Meadows | Nurse Practitioner | 280 N Pointe Blvd, Mount Airy, NC 27030-2267 | 2018-10-12 |
| 1730687476 | Daniel Dean Watson | Nurse Practitioner | 1908 Caudle Dr Ste 100, Mount Airy, NC 27030-4322 | 2018-01-29 |
| 1508386889 | Kelley Manuel | Nurse Practitioner | 280 N Pointe Blvd, Mount Airy, NC 27030 | 2017-06-27 |
| 1659753671 | Angel Luis Cartagena Jr. | Nurse Practitioner | 830 Rockford St, Mount Airy, NC 27030-5322 | 2015-06-25 |
| 1932580248 | Kelly C Key | Nurse Practitioner | 905 Rockford St, Mount Airy, NC 27030-5323 | 2015-06-11 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 27030 |
Please comment or provide details below to improve the information on DELORES A. JOHNSON.
| 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.