GORDON JOHNSON (NPI# 1730444084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730444084 |
| Entity Type | Individual |
| Full Name | GORDON JOHNSON |
| Practice Address |
119 W Depot St Mocksville NC 27028-2327 |
| Mailing Address |
284 Executive Park Dr Ste 100 Concord NC 28025-1833 |
| Practice Telephone | 3367515636 |
| Practice Fax Number | 3367515696 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
20144 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1251 Pinnacle Church Road, Nebo, NC 287615753 | 8286593418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295841369 | Gordon Stanley Johnson | Optometrist | 2827 Woodruff Rd, Simpsonville, SC 29681-4807 | 2006-08-22 |
| 1205893781 | Gordon Ray Johnson | Otolaryngology | 3906 Lillie Ave., Suite 1, Davenport, IA 52806-4432 | 2006-04-27 |
| 1528406444 | Gordon Mack Johnson | Nurse Anesthetist, Certified Registered | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2013-06-13 |
| 1053588004 | Gordon Dean Johnson | Technician | 27885 170th Ave Sw, Crookston, MN 56716-9444 | 2008-05-09 |
| 1235201351 | Gordon Christopher Johnson | Chiropractor | 1535 W Northfield Blvd, Suite 6, Murfreesboro, TN 37129-1427 | 2006-11-14 |
| 1235103276 | Gordon Johnson | Hospitalist | 24988 Se Stark St, Gresham, OR 97030-8324 | 2006-02-15 |
| 1316911670 | Gordon Leslie Johnson | Pathology | 10101 W Forest Hill Blvd, Wellington Regional Medical Center Pathology Dept, Wellington, FL 33414 | 2006-02-14 |
| 1932105061 | Gordon L Johnson | Internal Medicine | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-23 |
| Street Address |
119 W DEPOT ST |
| City | MOCKSVILLE |
| State | NC |
| Zip Code | 27028-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598791550 | Jocelyn Bradburn | Counselor | 119 W Depot St, Mocksville, NC 27028-2327 | 2006-06-23 |
| 1306356258 | Martha Laurin Stroud | Social Worker | 119 W Depot St, Mocksville, NC 27028-2327 | 2017-10-05 |
| 1891235685 | Lorri Jones Hayes | Counselor | 119 W Depot St, Mocksville, NC 27028-2327 | 2017-02-28 |
| 1366876054 | Betsy Clayton Servis | Counselor | 119 W Depot St, Mocksville, NC 27028-2327 | 2013-08-29 |
| 1184967390 | Rha Health Services Inc | Community/Behavioral Health | 119 W Depot St, Mocksville, NC 27028-2327 | 2013-04-05 |
| 1871846220 | Ariana Catherine Winn | Counselor | 119 W Depot St, Mocksville, NC 27028-2327 | 2012-10-23 |
| 1568779825 | Ashley J Golds | Counselor | 119 W Depot St, Mocksville, NC 27028-2327 | 2010-09-08 |
| 1689907511 | Triumph LLC | Psychologist | 119 W Depot St, Mocksville, NC 27028-2327 | 2009-09-10 |
| 1033347323 | Kerry-ann Winebarger | Social Worker | 119 W Depot St, Mocksville, NC 27028-2327 | 2009-06-25 |
| 1063568095 | Triumph LLC | Community/Behavioral Health | 119 W Depot St, Mocksville, NC 27028-2327 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285270868 | Gaston Family Health Services, Inc. | Clinic/Center | 160 Martin Luther King Junior Rd, Mocksville, NC 27028 | 2019-11-19 |
| 1730649633 | Dawn Michelle Whitsel | Occupational Therapy Assistant | 498 Madison Rd., Mocksville, NC 27028 | 2019-03-25 |
| 1912476391 | Warren Hearing Solutions, LLC | Audiologist-Hearing Aid Fitter | 189 Gaither St, Mocksville, NC 27028 | 2018-11-15 |
| 1548711385 | Tyler Crane | Nurse Practitioner | 375 Hospital St Ste 200, Mocksville, NC 27028 | 2016-10-17 |
| 1679926042 | Nicholas Martyak | Physical Therapist | 161 Nikkis Way, Mocksville, NC 27028 | 2016-07-20 |
| 1386987790 | Elizabeth Hemmings | Speech-Language Pathologist | 498 Madison Road, Mocksville, NC 27028 | 2013-04-03 |
| 1932421427 | Davie Kidney Center of Wake Forest University | Clinic/Center | 190 Interstate Drive, Mocksville, NC 27028 | 2010-02-24 |
| 1568455707 | Wake Forest University Baptist Medical Center Community Physicians | Pediatrics | 113 Marketplace Drive, Mocksville, NC 27028 | 2005-08-23 |
| 1912485517 | Davie Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 498 Madison Road, Mocksville, NC 27028 | 2018-08-06 |
| 1245747062 | Emma Beneke | Social Worker | 172 S Clement St, Mocksville, NC 27028 | 2018-01-02 |
| Find all providers in zip 27028 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336201920 | Cynthia Jane Hogan | Counselor | 161 E Lexington Rd Ste B, Mocksville, NC 27028-2635 | 2006-12-14 |
| 1225699812 | Joy N Miller-kyle | Counselor | 377 Hospital St Ste 100, Mocksville, NC 27028-2194 | 2019-06-25 |
| 1235515800 | Daymark Recovery Services Inc | Counselor | 377 Hospital St Ste 100, Mocksville, NC 27028-2191 | 2015-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841384 | Karen Yvette Johnson | Counselor | 2500 Saint Christopher Cir Sw Apt 1, Wilson, NC 27893-4474 | 2020-11-05 |
| 1407456163 | Fallon Middle Williams | Counselor | 127 Westview Meadows Dr, Goldsboro, NC 27530-9589 | 2020-10-30 |
| 1205436268 | Josette Hoffman Skinner | Counselor | 51 Park Dr Sw, Concord, NC 28027-7029 | 2020-10-29 |
| 1962002931 | Mind Over Mood | Counselor | 115 Carlos Drive, Garysburg, NC 27831 | 2020-10-29 |
| 1528668043 | Hope and Wellness Counseling Pllc | Counselor | 4017 S Nc Highway 11, Wallace, NC 28466-6111 | 2020-10-26 |
| 1205436730 | Joy Elise Chiles | Counselor | 8505 Mount Valley Ln, Raleigh, NC 27613-6931 | 2020-10-26 |
| 1588264006 | Jocelyn S Whitfield | Counselor | 1279 William Beale Rd, Pendleton, NC 27862-7015 | 2020-10-26 |
| 1225637796 | Cindy Verdoorn | Counselor | 10831 Pineville Rd Unit 9, Pineville, NC 28134-8137 | 2020-10-25 |
| 1700485430 | Travis William Richardson | Counselor | 3 Doctors Park Ste 3g, Asheville, NC 28801-4531 | 2020-10-23 |
| 1952900615 | Eastern Trauma & Recovery Counseling Service | Counselor | 11814 Us 64a, Spring Hope, NC 27882-9637 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| City | MOCKSVILLE |
| Zip Code | 27028 |
Please comment or provide details below to improve the information on GORDON 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.