1750535530 NPI number — DR. MARGARET SEXTON JOHNSON APRN BC, DNP

Table of content: DR. MARGARET SEXTON JOHNSON APRN BC, DNP (NPI 1750535530)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750535530 NPI number — DR. MARGARET SEXTON JOHNSON APRN BC, DNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JOHNSON
Provider First Name:
MARGARET
Provider Middle Name:
SEXTON
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
APRN BC, DNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
JOHNSON
Provider Other First Name:
MAGGIE
Provider Other Middle Name:
S
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
APRN BC, DNP
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1750535530
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/30/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1501 ALPINE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST COLUMBIA
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29169-6005
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-791-3459
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1547 PARKWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENWOOD
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29646-4081
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-229-7120
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/06/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  APN3751 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363L00000X , with the licence number: 3751 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: NP1369 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3335 . This is a "MEDICARE" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 421504 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".




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