EMILY B JOHNSON
NPI 1700603172
Nurse Practitioner - Family in Conway, SC

Q: What is Emily Johnson's NPI number?

The NPI number for Emily Johnson is 1700603172. It was assigned to this individual provider in the NPPES registry on September 25, 2024.

Q: What is Emily Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Emily Johnson was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since September 25, 2024PECOS EnrolledAccepts Medicare Assignment

2376 CYPRESS CIR STE 102, CONWAY, SC 29526(843) 347-8953(843) 347-0226 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2025, Dec 31, 2024, Sep 25, 2024 (3 updates tracked since 2024).

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About Emily B Johnson NPPES

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

EMILY B JOHNSON (NPI 1700603172) is an individual family provider in Conway, South Carolina, licensed in South Carolina (30064) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Conway Medical Center, and maintains a secondary practice location in Myrtle Beach.

NPPES Registry Identity

NPI1700603172

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameEMILY B JOHNSON

Location Address2376 CYPRESS CIR STE 102Conway, SC 29526-8964

Mailing Address300 Singleton Ridge Rd, Attention CredentialingConway, SC 29526-9142 · (843) 234-6946

Phone(843) 347-8953

Fax(843) 347-0226

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 25, 2024

Last NPPES UpdateApril 9, 20253 updates tracked since enumeration

NPPES CertifiedApril 9, 2025

✔ NPI 1700603172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 30064

2376 CYPRESS CIR STE 102, Conway, SC 29526

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Secondary Practice Location 1

Location 16010 Highway 707 Ste 300Myrtle Beach, SC 29588-7321 · Phone (843) 347-8953 · Fax (843) 347-0226

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, 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

Emily B Johnson 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 ID7911422324

PECOS Enrollment IDI20250417003558

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

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

Conway Medical Center

Acute Care Hospitals · Conway, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420049

Location300 Singleton Ridge RoadConway, SC 29526 · Horry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29526 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

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 11

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

DR. JESU VIJAY SHELDON JOSEPH MICHAEL RAJ M.D.

Internal Medicine (Interventional Cardiology)