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DR. KEVIN EARL JOHNSON MD
NPI 1336138809
Family Medicine in Rural Hall, NC

Active since October 18, 2005PECOS EnrolledAccepts Medicare Assignment
290 W WALL ST, RURAL HALL, NC 27045(336) 969-9158(336) 969-4554 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 15, 2022, Mar 9, 2021 (2 updates tracked since 2021).

About Dr. Kevin Earl Johnson Md NPPES

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

DR. KEVIN EARL JOHNSON MD (NPI 1336138809) is an individual family medicine provider in Rural Hall, North Carolina, licensed in North Carolina (9801320) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1336138809
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KEVIN EARL JOHNSONCredential: MD
Location Address290 W WALL STRural Hall, NC 27045-9308
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 969-9158 · Fax (336) 969-4554
Phone(336) 969-9158
Fax(336) 969-4554
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1997
Enumeration DateOctober 18, 2005
Last NPPES UpdateJanuary 13, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
✔ NPI 1336138809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NC · 9801320✔ Licensed in GA · 070497
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
290 W WALL ST, Rural Hall, NC 27045
Open in Google Maps ↗

Secondary Practice Location 1

Location 13409 Thomasville RdWinston Salem, NC 27107-5438 · Phone (743) 229-3300 · Fax (743) 229-3324

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin Earl Johnson Md 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 ID143249110
PECOS Enrollment IDI20060727000092
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kevin Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC
Same address
Family Medicine
290 W WALL ST
Rural Hall, NC 27045
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1720433634 (336) 969-9158
Northside Hospital, Inc.
262 mi
General Acute Care Hospital
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Gwinnett Hospital System, Inc.
  • 98 clinicians in this Medicare group
NPI 1952340994 (678) 312-1000
Gwinnett Physician Group, LLC
262 mi
Internal Medicine
1000 MEDICAL CENTER BLVD, MOB 100 SUITE 210
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 275 clinicians in this Medicare group
NPI 1578574661 (855) 709-4535

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 4

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27045 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims11 services$215.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

MARIA ANN MENDRINOS CHAVOUS NP
Nurse Practitioner
290 W WALL ST
RURAL HALL, NC 27045
Forsyth County (336) 969-9158
MS. JORDAN RICHARDSON ZENDEL PA-C
Physician Assistant
290 W WALL ST
RURAL HALL, NC 27045
Forsyth County (336) 969-9158
NOVANT HEALTH MEDICAL GROUP, LLC
Family Medicine
290 W WALL ST
RURAL HALL, NC 27045
Forsyth County (336) 969-9158

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 Kevin Johnson's NPI number?

The NPI number for Kevin Johnson is 1336138809. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Kevin Johnson located?

Kevin Johnson practices at 290 W Wall St, Rural Hall, NC 27045. The listed phone number is (336) 969-9158.

What is Kevin Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kevin Johnson enrolled in Medicare?

Yes. Kevin Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kevin Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Johnson reassigns Medicare benefits to 3 organizations: Novant Health Medical Group, LLC (Rural Hall, NC), Northside Hospital, Inc. (Lawrenceville, GA) and Gwinnett Physician Group, LLC (Lawrenceville, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Johnson accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Kevin Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kevin Johnson affiliated with any hospitals?

According to CMS data, Kevin Johnson is affiliated with Northside Hospital Forsyth, Northside Hospital Gwinnett, Northside Hospital and Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Johnson was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.