Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

ELLIOT LAINE JOHNSON
NPI 1871419861
Registered Nurse - Critical Care Medicine in South Charleston, WV

Active since June 25, 2026
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309(304) 610-5087 Get Directions Write a Review

NPPES record added: June 25, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elliot Laine Johnson NPPES

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

ELLIOT LAINE JOHNSON (NPI 1871419861) is an individual critical care medicine provider in South Charleston, West Virginia, licensed in West Virginia (99235) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1871419861
Entity TypeIndividualMale
Primary Taxonomy163WC0200X
Provider Legal NameELLIOT LAINE JOHNSON
Location Address4605 MACCORKLE AVE SWSouth Charleston, WV 25309-1311
Mailing Address910 S Walnut StSaint Albans, WV 25177-3945 · (304) 610-5087
Sole ProprietorNo
Enumeration DateJune 25, 2026
NPPES CertifiedJune 25, 2026
NPI 1871419861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License Licensed in WV · 99235
4605 MACCORKLE AVE SW, South Charleston, WV 25309

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology & Clinical Pathology)
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Specialist
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Physical Therapist
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Internal Medicine
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Emergency Medicine
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Anesthetist, Certified Registered
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Anesthetist, Certified Registered
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Anesthetist, Certified Registered
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Anesthetist, Certified Registered
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Anesthetist, Certified Registered
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Anesthetist, Certified Registered
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Anesthetist, Certified Registered
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Anesthetist, Certified Registered
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Anesthetist, Certified Registered
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Anesthetist, Certified Registered
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Anesthetist, Certified Registered
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Anesthetist, Certified Registered
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Family Medicine
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Home Health
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Rehabilitation Unit
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871419861, enumerated as an "individual" on June 25, 2026.

The provider is located at 4605 MACCORKLE AVE SW SOUTH CHARLESTON, WV 25309 and the phone number is (304) 610-5087.

Registered Nurse with taxonomy code 163WC0200X and a focus in Critical Care Medicine.