| Kyle Thomas Johnson, MD | |
|
325 Hawthorne Ln Ste 300, Charlotte, NC 28204-2536 | |
| (704) 372-5180 | |
| (704) 376-6280 |
| Full Name | Kyle Thomas Johnson |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 7 Years |
| Location | 325 Hawthorne Ln Ste 300, Charlotte, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538659420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 2023-01775 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Presbyterian Medical Center | Charlotte, NC | Hospital |
| Carolinas Medical Center/behav Health | Charlotte, NC | Hospital |
| Novant Health Huntersville Medical Center | Huntersville, NC | Hospital |
| Novant Health Matthews Medical Center | Matthews, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urology Specialists Of The Carolinas Pllc | 0648178020 | 44 |
| The Presbyterian Hospital | 1153231907 | 350 |
| Entity Name | Carolinas Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Entity Name | Urology Specialists Of The Carolinas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669404208 PECOS PAC ID: 0648178020 Enrollment ID: O20040127000244 |
| Entity Name | The Presbyterian Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053365817 PECOS PAC ID: 1153231907 Enrollment ID: O20040223001121 |
| Entity Name | The Charlotte-mecklenburg Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Thomas Johnson, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () - | Kyle Thomas Johnson, MD 325 Hawthorne Ln Ste 300, Charlotte, NC 28204-2536 Ph: (704) 372-5180 |
Mark J. Makhuli, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1225 Harding Pl, Ste 3100, Charlotte, NC 28204 Phone: 704-355-8686 | |
Dr. George Albert Dasher, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 10512 Park Rd, Suite 113, Charlotte, NC 28210 Phone: 704-541-8207 | |
Dr. Javier Piraino, D.O Urology Medicare: Accepting Medicare Assignments Practice Location: 10650 Park Rd Ste 130, Charlotte, NC 28210 Phone: 704-752-3730 Fax: 704-752-9056 | |
Dr. Craig H Robson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 335 N Caswell Rd, Charlotte, NC 28204 Phone: 704-384-7980 | |
Peter Earl Clark, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1021 Morehead Medical Dr, Ste 6100, Charlotte, NC 28204 Phone: 980-442-2000 | |
E Matthew Dilizia, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 10660 Park Rd Ste 4100, Charlotte, NC 28210 Phone: 704-541-8207 Fax: 704-540-8288 | |
Alison Carroll Keenan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1001 Blythe Blvd, Charlotte, NC 28203 Phone: 704-446-5070 |