MALLORY BROOKE JOHNSON NP
NPI 1518520238
Nurse Practitioner in Charlotte, NC
About Mallory Brooke Johnson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY BROOKE JOHNSON NP (NPI 1518520238) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5011691) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
Mallory Brooke Johnson Np 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.
Medicare Billing Reassignments
4Medicare enrollment records show Mallory Johnson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charlotte, NC 28204
- Reassigned Medicare billing, North Carolina enrollment
- 926 clinicians in this Medicare group
Salisbury, NC 28144
- Reassigned Medicare billing, North Carolina enrollment
- 686 clinicians in this Medicare group
Clemmons, NC 27012
- Reassigned Medicare billing, North Carolina enrollment
- 719 clinicians in this Medicare group
Carolina Shores, NC 28467
- Reassigned Medicare billing, North Carolina enrollment
- 710 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Novant Health New Hanover Regional Medical Center
Acute Care Hospitals · Wilmington, NCNovant Health Brunswick Medical Center
Acute Care Hospitals · Supply, NCPender Memorial Hospital
Critical Access Hospitals · Burgaw, NCJ Arthur Dosher Memorial Hospital
Critical Access Hospitals · Southport, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLOTTE, NC 28204
CHARLOTTE, NC 28204
CHARLOTTE, NC 28204
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 Mallory Johnson's NPI number?
The NPI number for Mallory Johnson is 1518520238. It was assigned to this individual provider in the NPPES registry on April 18, 2019. The provider is also known as Mallory Brooke Dotson Np.
Where is Mallory Johnson located?
Mallory Johnson practices at 125 Queens Rd Ste 610, Charlotte, NC 28204. The listed phone number is (980) 302-6600.
What is Mallory Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mallory Johnson enrolled in Medicare?
Yes. Mallory 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 Mallory Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Johnson reassigns Medicare benefits to 4 organizations: The Presbyterian Hospital (Charlotte, NC), Novant Health Rowan Medical Center LLC (Salisbury, NC), Novant Health Thomasville Medical Center, LLC (Clemmons, NC) and Novant Health Medical Group Coastal Region, LLC (Carolina Shores, NC). 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 Mallory Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mallory Johnson affiliated with any hospitals?
According to CMS data, Mallory Johnson is affiliated with Novant Health New Hanover Regional Medical Center, Novant Health Brunswick Medical Center, Pender Memorial Hospital and J Arthur Dosher Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Mallory Johnson was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mallory Brooke Johnson, NP · NPI 1518520238
Nurse Practitioner physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since April 18, 2019.
## Identity
- **NPI:** 1518520238 (Entity type: Individual)
- **Enumerated:** April 18, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 5011691 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 125 QUEENS RD STE 610, Charlotte, NC 28204-3580
- **Phone:** (980) 302-6600 · **Fax:** (980) 302-6605
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): The Presbyterian Hospital (NPI 1275256422, Charlotte, NC); Novant Health Rowan Medical Center LLC (NPI 1508931544, Salisbury, NC); Novant Health Thomasville Medical Center, LLC (NPI 1831976919, Clemmons, NC); Novant Health Medical Group Coastal Region, LLC (NPI 1801565684, Carolina Shores, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 25, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1518520238) · Data from the CMS NPPES public registry.