HALEY KENICIA COLEMAN JOHNSON CAA
NPI 1144826744
Anesthesiologist Assistant in Greenville, NC

Q: What is Haley Coleman Johnson's NPI number?

The NPI number for Haley Coleman Johnson is 1144826744. It was assigned to this individual provider in the NPPES registry on December 9, 2020.

Q: What is Haley Coleman Johnson's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Active since December 09, 2020Accepts Medicare Assignment

64.46/100

CMS Quality Rating

2430 EMERALD PL STE 201, GREENVILLE, NC 27834(252) 752-2140 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2021, Dec 9, 2020 (2 updates tracked since 2020).

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About Haley Kenicia Coleman Johnson Caa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HALEY KENICIA COLEMAN JOHNSON CAA (NPI 1144826744) is an individual anesthesiologist assistant in Greenville, North Carolina, licensed in North Carolina (2000-00000) and active in the NPI registry since December 2020. She is affiliated with Northwest Health - Porter and is a graduate of Medical College Of Wisconsin (2020).

NPPES Registry Identity

NPI1144826744

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameHALEY KENICIA COLEMAN JOHNSONCredential: CAA

Location Address2430 EMERALD PL STE 201Greenville, NC 27834-5743

Mailing Address2430 Emerald Pl Ste 201Greenville, NC 27834-5743 · (252) 752-2140

Phone(252) 752-2140

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2020

Enumeration DateDecember 9, 2020

Last NPPES UpdateApril 27, 20232 updates tracked since enumeration

NPPES CertifiedApril 27, 2023

✔ NPI 1144826744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in NC · 2000-00000

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

2430 EMERALD PL STE 201, Greenville, NC 27834

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Haley Kenicia Coleman Johnson Caa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254747082

PECOS Enrollment IDI20250107002127

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwest Health - Porter

Acute Care Hospitals · Valparaiso, IN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number150035

Location85 East Us Hwy 6Valparaiso, IN 46383 · Porter County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

64.46/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

52.37

Improvement Activities

Cost

68.87

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON A MCGAVIN MD

Anesthesiology