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KELLY COOKE JOHNSON AUD
NPI 1568039378
Audiologist in Cary, NC

Active since June 09, 2021
110 CORNING RD, CARY, NC 27518(919) 431-7400 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 15, 2026, Jul 23, 2021, Jun 30, 2021 and 1 more (4 updates tracked since 2021).

About Kelly Cooke Johnson Aud NPPES

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

KELLY COOKE JOHNSON AUD (NPI 1568039378) is an individual audiologist in Cary, North Carolina, licensed in North Carolina (14997) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1568039378
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameKELLY COOKE JOHNSONCredential: AUD
Location Address110 CORNING RDCary, NC 27518-9229
Mailing Address4613 Fisk CtRaleigh, NC 27604-8401
Phone(919) 431-7400
Sole ProprietorNo
Enumeration DateJune 9, 2021
Last NPPES UpdateApril 15, 20264 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1568039378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in NC · 14997
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
110 CORNING RD, Cary, NC 27518
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Other Names 1

Former Name (1)Kelly Cooke Miller

Other Identifiers 1

Medicaid1568039378NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Cooke Johnson Aud is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Wakemed Specialists Group LLC
1.7 mi
Surgery
115 PARKWAY OFFICE CT
Cary, NC 27518
  • Reassigned Medicare billing, North Carolina enrollment
  • 997 clinicians in this Medicare group
NPI 1104499474 (919) 859-4747

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

Other Providers at the Same Location NPPES 20

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

ALICIA MIGNON PICOU MA CCC-SLP
Speech-Language Pathologist
110 CORNING RD
CARY, NC 27518
Wake County (919) 431-7400
MARY HEATHER LASH SLP-CCC
Speech-Language Pathologist
110 CORNING RD
CARY, NC 27518
Wake County (919) 431-7400
MS. MADALYN MARIE PAYDEN MS, OTR/L
Occupational Therapist (Pediatrics)
110 CORNING RD
CARY, NC 27518
Wake County (919) 431-7400
ISLA SHAW BROWNELL
Occupational Therapist
110 CORNING RD
CARY, NC 27518
Wake County (919) 431-7400
JULIA MOORE SKINNER
Speech-Language Pathologist
110 CORNING RD
CARY, NC 27518
Wake County (919) 431-7400
SEAN THOMAS NIXON PT
Physical Therapist
110 CORNING RD
CARY, NC 27518
Wake County (919) 431-7400
MS. WHITNEY NICOLE BENNETT MS, OTR/L
Occupational Therapist
110 CORNING RD
CARY, NC 27518
Wake County (919) 431-7400
JENNIFER WILEY
Speech-Language Pathologist
110 CORNING RD
CARY, NC 27518
Wake County (919) 431-7400

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 Kelly Johnson's NPI number?

The NPI number for Kelly Johnson is 1568039378. It was assigned to this individual provider in the NPPES registry on June 9, 2021. The provider is also known as Kelly Cooke Miller.

Where is Kelly Johnson located?

Kelly Johnson practices at 110 Corning Rd, Cary, NC 27518. The listed phone number is (919) 431-7400.

What is Kelly Johnson's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Kelly Johnson enrolled in Medicare?

Yes. Kelly Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Johnson reassigns Medicare benefits to Wakemed Specialists Group LLC (Cary, 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 Kelly Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Johnson was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.