James Otto Johnson (NPI# 1528259801, PAC ID# 9638262454) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1528259801 |
| PAC ID by PECOS | 9638262454 |
| Professional Enrollment ID | I20080923000693 |
| Full Name | James Otto Johnson |
| Organization Legal Name | VIDANT MEDICAL GROUP LLC |
| Address |
203 Earnhart Dr B Vidant General Surgery Edenton Edenton NC 27932-8401 |
| Phone Number | 2524825868 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | COLORECTAL SURGERY (PROCTOLOGY), SURGICAL ONCOLOGY |
| Group Practice PAC ID | 0345343893 |
| Number of Group Practice Members | 650 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 341318 | VIDANT CHOWAN HOSPITAL |
| 341304 | VIDANT BERTIE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 203 Earnhart Dr B, Vidant General Surgery Edenton, Edenton, NC 27932-8401 | 2524825868 | VIDANT MEDICAL GROUP LLC |
| Organization Legal Name | VIDANT MEDICAL GROUP LLC |
| Physicians | 658 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew S Peach | Radiation Oncology | Vidant Medical Group LLC | 1209 Brown St, Washington, NC 27889-4671 |
| Charnissa Nicole Batts | Nurse Practitioner | Vidant Medical Group LLC | 1308 Highland Dr, Washington, NC 27889-3424 |
| Lashaunda Brown | Clinical Social Worker | Vidant Medical Group LLC | 210 W Liberty St, Williamston, NC 27892-1712 |
| Deebah A Uddin | Internal Medicine | Vidant Medical Group LLC | 111 Hospital Dr, Tarboro, NC 27886-2011 |
| Madeline Winslow | Nurse Practitioner | Vidant Medical Group LLC | 1124 Harvey Point Rd, Hertford, NC 27944-9767 |
| Deepti Ananthula | Internal Medicine | Vidant Medical Group LLC | 1380 Cowell Farm Rd, Washington, NC 27889-3431 |
| Seetharamprasad Madala | Internal Medicine | Vidant Medical Group LLC | 500 Academy St S, Vidant Roanoke Chowan Hospitalists, Ahoskie, NC 27910-3248 |
| John P Mcgee | Family Medicine | Vidant Medical Group LLC | 2450 Emerald Pl, Vidant Family Medicine Greenville, Greenville, NC 27834-5784 |
| Judith Tate Smithwick | Nurse Practitioner | Vidant Medical Group LLC | 1210 N Brown St, Vidant Womens Care Washington, Washington, NC 27889-4671 |
| David A Konzem | Physician Assistant | Vidant Medical Group LLC | 417 N Main St B, Kenansville, NC 28349-8801 |
| Street Address |
203 EARNHART DR B VIDANT GENERAL SURGERY EDENTON |
| City | EDENTON |
| State | NC |
| Zip | 27932-8401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip Dean Bates | General Surgery | Vidant Medical Group LLC | 203 Earnhart Dr B, Vidant General Surgery Edenton, Edenton, NC 27932-8401 |
| Bora A Duruman | Obstetrics/gynecology | Vidant Medical Group LLC | 203 Earnhart Dr B, Vidant General Surgery Edenton, Edenton, NC 27932-8401 |
| David J Friedman | General Surgery | Vidant Medical Group LLC | 203 Earnhart Dr B, Vidant General Surgery Edenton, Edenton, NC 27932-8401 |
| Crystal D Brabble | Nurse Practitioner | Vidant Medical Group LLC | 203 Earnhart Dr B, Vidant General Surgery Edenton, Edenton, NC 27932-8401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer F Brown | Nurse Practitioner | Albemarle Urgent Care Inc | 709 N Broad St, Edenton, NC 27932-1111 |
| James F Cranford Jr. | Chiropractic | 701 N Broad St, Chowan Chiropractic Clinic, Edenton, NC 27932-1430 | |
| Matthew L Parker | Nurse Practitioner | Vidant Medical Group LLC | 113 Virginia Rd, Edenton, NC 27932-1446 |
| Stephen P Benkusky | Optometry | 111 Virginia Rd, Edenton, NC 27932-1446 | |
| Carroll Bracey Robertson Iii | Family Medicine | Vidant Medical Group LLC | 104 Mark Dr, Edenton, NC 27932-1756 |
| Obie Ramsay | Rheumatology | Vidant Medical Group LLC | 104 Mark Dr, Edenton, NC 27932-1756 |
| John Stafford Taylor | Internal Medicine | Vidant Medical Group LLC | 105 Mark Dr, Edenton, NC 27932-1777 |
| William S Blakemore | Ophthalmology | Albemarle Eye Center, Pllc | 101 Mark Dr, Edenton, NC 27932-1778 |
| Karen Parrish Huey | Certified Nurse Midwife (cnm) | Vidant Medical Group LLC | 309 N Broad St, Edenton, NC 27932-1925 |
| Julane C Belcher | Nurse Practitioner | Vidant Medical Group LLC | 309 N Broad St, Edenton, NC 27932-1925 |
| Find all physicians in zip 27932 | |||
| City | EDENTON |
| Zip Code | 27932 |
| Specialty | GENERAL SURGERY |
| City + Specialty | EDENTON + GENERAL SURGERY |
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| 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.