1. Home
  2. Directory
  3. North Carolina
  4. Durham
  5. Physician Assistant
  6. NPI Profile

KIESHA CHARIS JOHNSON
NPI 1821718057
Physician Assistant in Durham, NC

Active since August 29, 2022PECOS EnrolledAccepts Medicare Assignment
2314 NATION AVE APT 4, DURHAM, NC 27707(973) 489-1294 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2025, Aug 29, 2022 (2 updates tracked since 2022).

About Kiesha Charis Johnson NPPES

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

KIESHA CHARIS JOHNSON (NPI 1821718057) is an individual physician assistant in Durham, North Carolina, licensed in North Carolina (0010-13367) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Johnston Health, and maintains a secondary practice location in Smithfield.

NPPES Registry Identity

NPI1821718057
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIESHA CHARIS JOHNSON
Location Address2314 NATION AVE APT 4Durham, NC 27707-2015
Mailing Address2314 Nation Ave Apt 4Durham, NC 27707-2015 · (973) 489-1294
Phone(973) 489-1294
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 29, 2022
Last NPPES UpdateMarch 12, 20252 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1821718057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-13367
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2314 NATION AVE APT 4, Durham, NC 27707
Open in Google Maps ↗

Secondary Practice Location 1

Location 1509 N Brightleaf BlvdSmithfield, NC 27577-4407 · Phone (919) 938-7189

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Kiesha Charis 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 ID6608244454
PECOS Enrollment IDI20250325002294
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 2

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

Johnston Health

Acute Care Hospitals · Smithfield, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340090
Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27707 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kiesha Johnson's NPI number?

The NPI number for Kiesha Johnson is 1821718057. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Kiesha Johnson located?

Kiesha Johnson practices at 2314 Nation Ave Apt 4, Durham, NC 27707. The listed phone number is (973) 489-1294.

What is Kiesha Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kiesha Johnson enrolled in Medicare?

Yes. Kiesha 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.

What insurance does Kiesha Johnson accept?

Health plans from Blue Cross and Blue Shield of NC list Kiesha 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 Kiesha Johnson affiliated with any hospitals?

According to CMS data, Kiesha Johnson is affiliated with Johnston Health and Rex Hospital.

When was this NPI record last updated?

The NPPES record for Kiesha Johnson was last updated on March 12, 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.