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TIA JOHNSON HAIR LOSS SPECIALIST
NPI 1306506548
Specialist - Prosthetics Case Management in Winterville, NC

Active since December 29, 2021
4054 S MEMORIAL DR STE Q, WINTERVILLE, NC 28590(252) 695-9011 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tia Johnson Hair Loss Specialist NPPES

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

TIA JOHNSON HAIR LOSS SPECIALIST (NPI 1306506548) is an individual prosthetics case management provider in Winterville, North Carolina and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1306506548
Entity TypeIndividualFemale
Primary Taxonomy1744P3200X
Provider Legal NameTIA JOHNSONCredential: HAIR LOSS SPECIALIST
Location Address4054 S MEMORIAL DR STE QWinterville, NC 28590-8690
Mailing Address4054 S Memorial Dr Ste QWinterville, NC 28590-8690 · (252) 695-9011
Phone(252) 695-9011
Sole ProprietorYes
Enumeration DateDecember 29, 2021
NPPES CertifiedDecember 15, 2021
✔ NPI 1306506548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
Definition
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
4054 S MEMORIAL DR STE Q, Winterville, NC 28590
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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 Tia Johnson's NPI number?

The NPI number for Tia Johnson is 1306506548. It was assigned to this individual provider in the NPPES registry on December 29, 2021.

Where is Tia Johnson located?

Tia Johnson practices at 4054 S Memorial Dr Ste Q, Winterville, NC 28590. The listed phone number is (252) 695-9011.

What is Tia Johnson's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Tia Johnson was last updated on December 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.