Dominic Adrian Johnson (NPI# 1720308851, PAC ID# 0648412999) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1720308851 |
| PAC ID by PECOS | 0648412999 |
| Professional Enrollment ID | I20150819008132 |
| Full Name | Dominic Adrian Johnson |
| Organization Legal Name | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
| Address |
877 W Faris Rd B Greenville SC 29605-4296 |
| Phone Number | 8644556900 |
| Gender | M |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8325950983 |
| Number of Group Practice Members | 1439 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420078 | GHS GREENVILLE MEMORIAL HOSPITAL |
| 420033 | GHS GREER MEMORIAL HOSPITAL |
| 420037 | GHS HILLCREST MEMORIAL HOSPITAL |
| 420015 | BAPTIST EASLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 877 W Faris Rd B, Greenville, SC 29605-4296 | 8644556900 | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
| Organization Legal Name | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
| Physicians | 1371 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Edge Thomas | Nurse Practitioner | Prisma Health University Medical Group | 9100 Hwy 14, Gray Court, SC 29645-4152 |
| Shiven S Patel | Allergy/immunology | Prisma Health University Medical Group | 10 Halton Green Way, Greenville, SC 29607-6606 |
| Jamie C Goodman | Family Medicine | Prisma Health University Medical Group | 2400 Boiling Springs Rd, Suite A, Boiling Springs, SC 29316-5304 |
| Karyn Marie Dyehouse | Medical Oncology | Prisma Health University Medical Group | 131 Lila Doyle Dr, Seneca, SC 29672-9495 |
| Doris A Best | Family Medicine | Prisma Health University Medical Group | 3551 A Rutherford Rd, Taylors, SC 29687-2195 |
| Elizabeth Ann Lacy | Nurse Practitioner | Prisma Health University Medical Group | 106 John St, Easley, SC 29640-1415 |
| Rebecca Anne Frost | Psychiatry | Prisma Health University Medical Group | 109 Physicians Dr, Suite B, Greer, SC 29650-2446 |
| Elizabeth Van Huffel Dray | Urology | Prisma Health University Medical Group | 11 Park Creek Dr, University Medical Group, Greenville, SC 29605-4268 |
| Jonathan Douglas Hufford | Obstetrics/gynecology | Prisma Health University Medical Group | 1351 Crestview Rd, Easley, SC 29642-2408 |
| Nathan Michael Moroski | Sports Medicine | Prisma Health University Medical Group | 10630 Clemson Blvd, Suite 100, Seneca, SC 29678-4545 |
| Street Address |
877 W FARIS RD B |
| City | GREENVILLE |
| State | SC |
| Zip | 29605-4296 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arthur Lee Eberly Iii | Cardiovascular Disease (cardiology) | Prisma Health University Medical Group | 877 W Faris Rd B, Greenville, SC 29605-4296 |
| Karen Marie Cain | Nurse Practitioner | Prisma Health University Medical Group | 877 W Faris Rd B, Greenville, SC 29605-4296 |
| Dane E Smith | General Surgery | Prisma Health University Medical Group | 877 W Faris Rd B, Greenville, SC 29605-4296 |
| Hilary Koster | Nurse Practitioner | Prisma Health University Medical Group | 877 W Faris Rd B, Greenville, SC 29605-4296 |
| Norman Bradford Stevens | Internal Medicine | Prisma Health University Medical Group | 877 W Faris Rd B, Greenville, SC 29605-4296 |
| William T Halligan | Cardiovascular Disease (cardiology) | Prisma Health University Medical Group | 877 W Faris Rd B, Greenville, SC 29605-4296 |
| David Eugene Mcneely Iii | Cardiovascular Disease (cardiology) | Prisma Health University Medical Group | 877 W Faris Rd B, Greenville, SC 29605-4296 |
| John Hunter Leigh | Family Medicine | Prisma Health University Medical Group | 877 W Faris Rd B, Greenville, SC 29605-4296 |
| Vincent Edward Green | Family Medicine | Prisma Health University Medical Group | 877 W Faris Rd B, Greenville, SC 29605-4296 |
| Rebecca Starr Smith | Family Medicine | Prisma Health University Medical Group | 877 W Faris Rd B, Greenville, SC 29605-4296 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor A Klimas | Internal Medicine | Carolina Nephrology Pa | 110 Chalmers Rd, Greenville, SC 29605-1351 |
| Willy C Tsai | Internal Medicine | Carolina Nephrology Pa | 110 Chalmers Rd, Greenville, SC 29605-1351 |
| Wendy Leigh Miller | Family Medicine | Bon Secours Ambulatory Services - St. Francis, LLC | 1800 Augusta St, Suite B, Greenville, SC 29605-2928 |
| Lara M Hoshko | Physician Assistant | Bon Secours Ambulatory Services - St. Francis, LLC | 1800 B Augusta St, Greenville, SC 29605-2928 |
| Heather Bryant | Nurse Practitioner | Bon Secours Ambulatory Services - St. Francis, LLC | 1800 Augusta St, Suite B, Greenville, SC 29605-2928 |
| Ashley Ahearn | Physician Assistant | Bon Secours Ambulatory Services - St. Francis, LLC | 1800 Augusta St, Suite B, Greenville, SC 29605-2928 |
| Glenn T Brothers | Family Medicine | Bon Secours Ambulatory Services - St. Francis, LLC | 1800 Augusta St, Suite B, Greenville, SC 29605-2928 |
| Rico A Aragon | Family Practice | Bon Secours Ambulatory Services - St. Francis, LLC | 1800 B Augusta St, Greenville, SC 29605-2928 |
| Chitra Nathan | Nephrology | Carolina Nephrology Pa | 203 Mills Ave, Greenville, SC 29605-4019 |
| Robert M Rogers | Dermatology | Robert M Rogers Md Pa | 213 Mills Ave, Greenville, SC 29605-4019 |
| Find all physicians in zip 29605 | |||
| City | GREENVILLE |
| Zip Code | 29605 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | GREENVILLE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Dominic Adrian Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.