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

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: October 25, 2026.

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

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
Open in Google Maps ↗

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 Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

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.

Medicare Billing Reassignment

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

Conway Hospital, Inc.
Same address
Vascular Surgery
2376 CYPRESS CIR STE 100
Conway, SC 29526
  • Reassigned Medicare billing, South Carolina enrollment
  • 142 clinicians in this Medicare group
NPI 1134910763 (843) 234-8600

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

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)
2376 CYPRESS CIR STE 102
CONWAY, SC 29526
Horry County (843) 347-8953
MRS. KALLIE GRAHAM BRITTON PA-C
Physician Assistant (Medical)
2376 CYPRESS CIR STE 102
CONWAY, SC 29526
Horry County (843) 347-8953
MR. NICHOLAS HAGANDORA FNP
Nurse Practitioner (Family)
2376 CYPRESS CIR STE 102
CONWAY, SC 29526
Horry County (843) 347-8953
JESSICA LYNN MAHADY AGACNP-BC
Nurse Practitioner (Acute Care)
2376 CYPRESS CIR STE 102
CONWAY, SC 29526
Horry County (843) 347-8953
DR. WILLIAM M CICIO M.D.
Internal Medicine (Cardiovascular Disease)
2376 CYPRESS CIR STE 102
CONWAY, SC 29526
Horry County (843) 347-8953
NATOSHA I IHLY FNP-C
Nurse Practitioner (Family)
2376 CYPRESS CIR STE 102
CONWAY, SC 29526
Horry County (843) 347-8953
HAYTHAM AHMAD ABOUSHI MD
Internal Medicine (Cardiovascular Disease)
2376 CYPRESS CIR STE 102
CONWAY, SC 29526
Horry County (843) 347-8953
STEPHEN T BRADY MD, FACCP, FSCAI
Internal Medicine (Interventional Cardiology)
2376 CYPRESS CIR STE 102
CONWAY, SC 29526
Horry County (843) 347-8953

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 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.

Where is Emily Johnson located?

Emily Johnson practices at 2376 Cypress Cir Ste 102, Conway, SC 29526. The listed phone number is (843) 347-8953.

What is Emily Johnson's specialty?

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

Is Emily Johnson enrolled in Medicare?

Yes. Emily 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 organization bills Medicare for Emily Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Johnson reassigns Medicare benefits to Conway Hospital, Inc. (Conway, SC). 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 Emily Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Johnson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Emily 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 Emily Johnson affiliated with any hospitals?

According to CMS data, Emily Johnson is affiliated with Conway Medical Center.

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 18 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.