Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BLAKE ELLIOT JOHNSON MD, M.SC.
NPI 1497389142
Urology in Charlotte, NC

Q: What is Blake Johnson's NPI number?

The NPI number for Blake Johnson is 1497389142. It was assigned to this individual provider in the NPPES registry on March 2, 2020.

Q: What is Blake Johnson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Blake Johnson was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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 March 02, 2020PECOS Enrolled

15830 BALLANTYNE MEDICAL PL STE 175, CHARLOTTE, NC 28277(704) 248-3400(704) 337-8387 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2026, Jan 1, 2025, Mar 6, 2020 (3 updates tracked since 2020).

On this page

About Dr. Blake Elliot Johnson Md, M.sc. NPPES

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

DR. BLAKE ELLIOT JOHNSON MD, M.SC. (NPI 1497389142) is an individual urology provider in Charlotte, North Carolina, licensed in North Carolina (2024-02754) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2020).

NPPES Registry Identity

NPI1497389142

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. BLAKE ELLIOT JOHNSONCredential: MD, M.SC.

Location Address15830 BALLANTYNE MEDICAL PL STE 175Charlotte, NC 28277-0763

Mailing Address15830 Ballantyne Medical Pl Ste 175Charlotte, NC 28277-0763 · (704) 248-3400 · Fax (704) 337-8387

Phone(704) 248-3400

Fax(704) 337-8387

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2020

Enumeration DateMarch 2, 2020

Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration

NPPES CertifiedJuly 14, 2026

✔ NPI 1497389142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in NC · 2024-02754✔ Licensed in VA · 0101286931✔ Licensed in SC · 97637

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

15830 BALLANTYNE MEDICAL PL STE 175, Charlotte, NC 28277

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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. Blake Elliot Johnson Md, M.sc. 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 ID6709391733

PECOS Enrollment IDI20250717000774

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.

Hospital Affiliations CMS Care Compare 2

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

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number340061

Location101 Manning DriveChapel Hill, NC 27514 · Orange County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28277 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

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 3

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

ALEXANDRA SEABORG BARE

Physician Assistant

15830 BALLANTYNE MEDICAL PL STE 175
CHARLOTTE, NC 28277

Mecklenburg County (704) 323-7633

CAITLIN MALON

Physician Assistant

15830 BALLANTYNE MEDICAL PL STE 175
CHARLOTTE, NC 28277

Mecklenburg County (704) 323-7633

MONICA ANN MANZI PA-C

Physician Assistant

15830 BALLANTYNE MEDICAL PL STE 175
CHARLOTTE, NC 28277

Mecklenburg County (704) 377-4009

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 Blake Johnson's NPI number?

The NPI number for Blake Johnson is 1497389142. It was assigned to this individual provider in the NPPES registry on March 2, 2020.

Where is Blake Johnson located?

Blake Johnson practices at 15830 Ballantyne Medical Pl Ste 175, Charlotte, NC 28277. The listed phone number is (704) 248-3400.

What is Blake Johnson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Blake Johnson enrolled in Medicare?

Yes. Blake 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.

What insurance does Blake Johnson accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Blake 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 Blake Johnson affiliated with any hospitals?

According to CMS data, Blake Johnson is affiliated with Novant Health Forsyth Medical Center and Unc Hospitals.

When was this NPI record last updated?

The NPPES record for Blake Johnson was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.