MR. DOUGLAS EARL JOHNSON SR. MA
NPI 1447571260
Counselor - Mental Health in Watha, NC

Active since June 16, 2010PECOS EnrolledAccepts Medicare Assignment
334 OLD THOMAS RD, WATHA, NC 28478(910) 285-0300 Get Directions Write a Review

NPPES record last updated: November 25, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Douglas Earl Johnson Sr. Ma NPPES

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

MR. DOUGLAS EARL JOHNSON SR. MA (NPI 1447571260) is an individual mental health provider in Watha, North Carolina, licensed in North Carolina (4916) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1447571260
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DOUGLAS EARL JOHNSON SR.Credential: MA
Location Address334 OLD THOMAS RDWatha, NC 28478-9538
Mailing Address334 Old Thomas RdWatha, NC 28478-9538 · (910) 285-6167
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJune 16, 2010
Last NPPES UpdateNovember 25, 2013
✔ NPI 1447571260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 4916
334 OLD THOMAS RD, Watha, NC 28478

Accepted 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

Mr. Douglas Earl Johnson Sr. Ma 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 ID2961944343
PECOS Enrollment IDI20240613000776
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 Reassignment

Medicare enrollment records show Douglas Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
416 WEST RIDGE STREET
Rose Hill, NC 28458
  • Reassigned Medicare billing, North Carolina enrollment
  • 9 clinicians in this Medicare group

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

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 Douglas Johnson's NPI number?

The NPI number for Douglas Johnson is 1447571260. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Where is Douglas Johnson located?

Douglas Johnson practices at 334 Old Thomas Rd, Watha, NC 28478. The listed phone number is (910) 285-0300.

What is Douglas Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Douglas Johnson enrolled in Medicare?

Yes. Douglas 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 organization bills Medicare for Douglas Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Johnson reassigns Medicare benefits to New Dimension Group, LLC (Rose Hill, NC). The 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 Douglas Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Johnson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 3 other insurers list Douglas 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.

When was this NPI record last updated?

The NPPES record for Douglas Johnson was last updated on November 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.