DR. JAY THOMAS JOHNSON DO
NPI 1265626006
Emergency Medicine in Georgetown, SC

Q: What is Jay Johnson's NPI number?

The NPI number for Jay Johnson is 1265626006. It was assigned to this individual provider in the NPPES registry on September 5, 2007.

Q: What is Jay Johnson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jay Johnson was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 05, 2007PECOS EnrolledAccepts Medicare Assignment

606 BLACK RIVER RD, GEORGETOWN, SC 29440(843) 527-7000(843) 520-8403 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2025, Nov 11, 2025, Sep 6, 2024 (3 updates tracked since 2024).

On this page

About Dr. Jay Thomas Johnson Do NPPES

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

DR. JAY THOMAS JOHNSON DO (NPI 1265626006) is an individual emergency medicine provider in Georgetown, South Carolina, licensed in South Carolina (36493) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Tidelands Georgetown Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265626006

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. JAY THOMAS JOHNSONCredential: DO

Location Address606 BLACK RIVER RDGeorgetown, SC 29440-3368

Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 527-7000

Phone(843) 527-7000

Fax(843) 520-8403

Sole ProprietorNo

Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2007

Enumeration DateSeptember 5, 2007

Last NPPES UpdateNovember 21, 20253 updates tracked since enumeration

NPPES CertifiedNovember 21, 2025

✔ NPI 1265626006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in SC · 36493✔ Licensed in TX · N6894

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

606 BLACK RIVER RD, Georgetown, SC 29440

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Secondary Practice Locations 2

Location 1642 S 2nd St, Apt 1003Louisville, KY 40202-2433 · Phone (623) 910-8797

Location 24070 Highway 17Murrells Inlet, SC 29576-5033 · Phone (843) 652-1000 · Fax (843) 520-8403

Other Identifiers 3

Medicaid218445901TX

Medicaid218445902TX

OtherP00896831TX · Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

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

Dr. Jay Thomas Johnson Do 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 ID8325108822

PECOS Enrollment IDI20140428000349

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

252 services245 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

225 services223 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

131 services131 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

23 services23 patients

Emergency department visit with straightforward medical decision making 99282

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Tidelands Georgetown Memorial Hospital

Acute Care Hospitals · Georgetown, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420020

Location606 Black River Rd Drawer 1718Georgetown, SC 29440 · Georgetown County

Emergency services

Tidelands Waccamaw Community Hospital

Acute Care Hospitals · Murrells Inlet, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420098

Location4070 Hwy 17Murrells Inlet, SC 29576 · Horry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29440 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

RUVIM LEONTYEV CRNA

Nurse Anesthetist, Certified Registered