Dr Charles Johnson, MD - Medicare Diagnostic Radiology in Jacksonville, FL

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Dr Charles Johnson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Jacksonville, Florida. He went to University Of Minnesota Medical School and graduated in 2010 and has 15 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Northside Radiology Associates Llc, Danville Physician Practices Llc, Mori Bean And Brooks Inc, University Of Florida Jacksonville Physicians, Inc., Northside Radiology Associates Llc and his current practice location is 554 Keily Street, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (757) 953-7550.

Dr Charles Johnson is licensed to practice in Florida (license number ME110710) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609187517.

Contact Information

Dr Charles Johnson, MD
554 Keily Street,
Jacksonville, FL 32212
(757) 953-7550
(757) 953-7560

Map and Direction




Physician's Profile

Full NameDr Charles Johnson
GenderMale
SpecialityDiagnostic Radiology
Experience15 Years
Location554 Keily Street, Jacksonville, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Charles Johnson attended and graduated from University Of Minnesota Medical School in 2010
  NPI Data:
  • NPI Number: 1609187517
  • Provider Enumeration Date: 06/24/2010
  • Last Update Date: 10/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7214293273
  • Enrollment ID: I20171107001691

Medical Identifiers

Medical identifiers for Dr Charles Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609187517NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 0101250181 (Virginia)Secondary
2085R0202XRadiology - Diagnostic Radiology 89692 (Georgia)Secondary
2085R0202XRadiology - Diagnostic Radiology ME110710 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health Medical Center - JacksonvilleJacksonville, FLHospital
Shands JacksonvilleJacksonville, FLHospital
Baptist Medical Center BeachesJacksonville beach, FLHospital
Orange Park Medical CenterOrange park, FLHospital
Baptist Medical Center - NassauFernandina beach, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northside Radiology Associates Llc4486555398256
Danville Physician Practices Llc4688606304141
Mori Bean And Brooks Inc8820077878617
University Of Florida Jacksonville Physicians, Inc.9133025869765
Northside Radiology Associates Llc4486555398256

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Charles Johnson allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Florida Jacksonville Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144276452
PECOS PAC ID: 9133025869
Enrollment ID: O20040128000786
Entity NameMori Bean And Brooks Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093782070
PECOS PAC ID: 8820077878
Enrollment ID: O20040714001317
Entity NameDiagnostic Centers Of America, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730125261
PECOS PAC ID: 0547174120
Enrollment ID: O20080223000067
Entity NameOroville Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710372909
PECOS PAC ID: 1254234339
Enrollment ID: O20170713000869
Entity NameZwanger & Pesiri Radiology Group Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477523413
PECOS PAC ID: 5092700799
Enrollment ID: O20171219003012
Entity NameEnloe Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477975613
PECOS PAC ID: 9739092388
Enrollment ID: O20200612001471
Entity NameNorthside Radiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013960657
PECOS PAC ID: 4486555398
Enrollment ID: O20200914002464
Entity NameMountain Medical Physician Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720035520
PECOS PAC ID: 5294639407
Enrollment ID: O20200918001929
Entity NameDlp Twin County Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033485925
PECOS PAC ID: 7214199512
Enrollment ID: O20250214000185
Entity NameDanville Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265243612
PECOS PAC ID: 4688606304
Enrollment ID: O20250214001974
Entity NameSentara Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265485270
PECOS PAC ID: 8921903923
Enrollment ID: O20250410000058

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Charles Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Charles Johnson, MD
554 Keily Street, Bureau Of Medicine And Surgery, Centralized Credential And Privileging Directorate,
Jacksonville, FL 32212

Ph: (757) 953-7550		Dr Charles Johnson, MD
554 Keily Street,
Jacksonville, FL 32212

Ph: (757) 953-7550

Reviews and Comments


Radiology Doctors in Jacksonville, FL

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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