LAKEN MARIE JOHNSON MD
NPI 1760050603
Pediatrics in Charleston, SC

Q: What is Laken Johnson's NPI number?

The NPI number for Laken Johnson is 1760050603. It was assigned to this individual provider in the NPPES registry on June 16, 2021. The provider is also known as Laken Johnson MD.

Q: What is Laken Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Laken Johnson was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 June 16, 2021PECOS Enrolled

135 RUTLEDGE AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 11, 2025, Jul 7, 2023, Jun 16, 2021 (3 updates tracked since 2021).

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About Laken Marie Johnson Md NPPES

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

LAKEN MARIE JOHNSON MD (NPI 1760050603) is an individual pediatrics provider in Charleston, South Carolina, licensed in South Carolina (1689753519) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charleston, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1760050603

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameLAKEN MARIE JOHNSONCredential: MD

Location Address135 RUTLEDGE AVECharleston, SC 29425-4700

Mailing Address135 Rutledge AveCharleston, SC 29425-8903

Phone(843) 792-1414

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 16, 2021

Last NPPES UpdateNovember 11, 20253 updates tracked since enumeration

NPPES CertifiedNovember 11, 2025

✔ NPI 1760050603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in SC · 1689753519

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedHospitalistTaxonomy 208M00000X · License 88063 (SC)

135 RUTLEDGE AVE, Charleston, SC 29425

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Other Names 1

Professional Name (2)Laken Johnson Md

Secondary Practice Location 1

Location 12095 Henry Tecklenburg DrCharleston, SC 29414-5733 · Phone (843) 402-1634 · Fax (843) 402-1550

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laken Marie Johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971971623

PECOS Enrollment IDI20251211001373

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 Laken Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bon Secours St. Francis Xavier Hosptial, Inc.

5.9 mi

Neurology

2095 HENRY TECKLENBURG DR
Charleston, SC 29414

Reassigned Medicare billing, South Carolina enrollment
Medicare enrollment name: Bon Secours St Francis Xavier Hospital Inc
375 clinicians in this Medicare group

NPI 1578929634 (843) 724-2450

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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 20

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

BRIANNE NICOLE SHOKRI PHARMD

Pharmacist