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

Active since March 02, 2020PECOS EnrolledAccepts Medicare Assignment
15830 BALLANTYNE MEDICAL PL STE 175, CHARLOTTE, NC 28277(704) 248-3400(704) 337-8387 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 26, 2026, Jul 14, 2026, Jan 1, 2025 and 1 more (4 updates tracked since 2020).

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 Scotland Memorial Hospital, 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) 323-7633 · Fax (704) 709-5384
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 UpdateAugust 26, 20264 updates tracked since enumeration
NPPES CertifiedAugust 26, 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 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, BlueCross BlueShield of South Carolina, UnitedHealthcare.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. 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.

Medicare Billing Reassignments

6

Medicare enrollment records show Blake Johnson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC
Same address
Cardiovascular Disease
15830 BALLANTYNE MEDICAL PL STE 275
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1700570090 (980) 302-8659
Urology Specialists Of The Carolinas PLLC
11 mi
Urology
325 HAWTHORNE LN STE 300
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 62 clinicians in this Medicare group
NPI 1669404208 (704) 372-5180
Forsyth Memorial Hospital Inc
53 mi
Hematology & Oncology
276 OLD MOCKSVILLE RD STE 800
Statesville, NC 28625
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,202 clinicians in this Medicare group
NPI 1649589763 (704) 873-5150
Scotland Memorial Hospital, Inc.
72 mi
Surgery
1007 CHERAW ST
Bennettsville, SC 29512
  • Reassigned Medicare billing, North Carolina enrollment
  • 476 clinicians in this Medicare group
NPI 1598143620 (843) 535-0939
Unc Physicians Network, LLC
80 mi
Cardiovascular Disease
205 PAGE RD
Pinehurst, NC 28374
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,337 clinicians in this Medicare group
NPI 1396174363 (910) 295-5511
University Of North Carolina At Chapel Hill
117 mi
Anesthesiology
101 MANNING DR
Chapel Hill, NC 27514
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,797 clinicians in this Medicare group
NPI 1780669200 (984) 974-1000

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 3

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

Scotland Memorial Hospital

Acute Care Hospitals · Laurinburg, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340008
Location500 Lauchwood DrLaurinburg, NC 28352 · Scotland County
Emergency services 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

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 P.A.
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.

Which organizations bill Medicare for Blake Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blake Johnson reassigns Medicare benefits to 6 organizations: Novant Health Medical Group, LLC (Charlotte, NC), Urology Specialists Of The Carolinas PLLC (Charlotte, NC), Forsyth Memorial Hospital Inc (Statesville, NC), Scotland Memorial Hospital, Inc. (Bennettsville, SC), Unc Physicians Network, LLC (Pinehurst, NC) and 1 more organization, listed in the Medicare section above. 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 Blake Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blake Johnson accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina 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 Scotland Memorial Hospital, 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 August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.