| Carrie Johnson, MD | |
|
500 Squires Pt Ste A, Duncan, SC 29334-8867 | |
| (864) 968-5126 | |
| (864) 968-5128 |
| Full Name | Carrie Johnson |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 11 Years |
| Location | 500 Squires Pt Ste A, Duncan, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124401237 | NPI | - | NPPES |
| 823602 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 82360 (South Carolina) | Secondary |
| 207R00000X | Internal Medicine | 82360 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spartanburg Medical Center | Spartanburg, SC | Hospital |
| Pelham Medical Center | Greer, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spartanburg Medical Center | 3072425297 | 1071 |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699729939 PECOS PAC ID: 3072425297 Enrollment ID: O20040702000686 |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie Johnson, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Carrie Johnson, MD 500 Squires Pt Ste A, Duncan, SC 29334-8867 Ph: (864) 968-5126 |
Dr. Chandrashekara Reddy, MD PHD Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 Squires Pt Ste A, Duncan, SC 29334 Phone: 864-968-5126 Fax: 864-968-5128 | |
Dr. Mukesh M Gandhi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Squires Pt Ste A, Duncan, SC 29334 Phone: 864-968-5126 Fax: 864-968-5128 |