MR. EARLIE T JOHNSON JR. M.D.
NPI 1275594079
Internal Medicine in Jacksonville, NC

Active since March 31, 2006
2580 HENDERSON DR, JACKSONVILLE, NC 28546(910) 346-1188(910) 346-1275 Get Directions Write a Review

NPPES record last updated: December 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Earlie T Johnson Jr. M.d. NPPES

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

MR. EARLIE T JOHNSON JR. M.D. (NPI 1275594079) is an individual internal medicine provider in Jacksonville, North Carolina, licensed in North Carolina (31729) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1275594079
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. EARLIE T JOHNSON JR.Credential: M.D.
Location Address2580 HENDERSON DRJacksonville, NC 28546-5252
Mailing Address305 Country Club DrJacksonville, NC 28546-7420 · (910) 347-1673
Fax(910) 346-1275
Sole ProprietorYes
Enumeration DateMarch 31, 2006
Last NPPES UpdateDecember 19, 2012
NPI 1275594079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 31729
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2580 HENDERSON DR, Jacksonville, NC 28546

Other Identifiers 4

Other0154HNC · Bcbs
Medicaid890154HNC
Medicare UPINB64578NC
Medicare ID-Type Unspecified2327206NC

Other Providers at the Same Location NPPES 5

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

Internal Medicine
2580 HENDERSON DR
JACKSONVILLE, NC 28546
Orthopaedic Surgery
2580 HENDERSON DR
JACKSONVILLE, NC 28546
Clinic/Center (VA)
2580 HENDERSON DR
JACKSONVILLE, NC 28546
Nurse Practitioner (Psychiatric/Mental Health)
2580 HENDERSON DR
JACKSONVILLE, NC 28546
Social Worker (Clinical)
2580 HENDERSON DR
JACKSONVILLE, NC 28546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Earlie Johnson's NPI number?

The NPI number for Earlie Johnson is 1275594079. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Earlie Johnson located?

Earlie Johnson practices at 2580 Henderson Dr, Jacksonville, NC 28546. The listed phone number is (910) 346-1188.

What is Earlie Johnson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Earlie Johnson was last updated on December 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.