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GIDEON LEE JOHNSON
NPI 1902745888
Student in an Organized Health Care Education/Training Program in Cornelius, NC

Active since March 26, 2026
19485 OLD JETTON RD STE 100, CORNELIUS, NC 28031(704) 316-5170 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gideon Lee Johnson NPPES

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

GIDEON LEE JOHNSON (NPI 1902745888) is an individual student in an organized health care education/training program in Cornelius, North Carolina and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1902745888
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGIDEON LEE JOHNSON
Location Address19485 OLD JETTON RD STE 100Cornelius, NC 28031-6583
Mailing Address19485 Old Jetton Rd Ste 100Cornelius, NC 28031-6583 · (704) 316-5170
Phone(704) 316-5170
Sole ProprietorYes
Enumeration DateMarch 26, 2026
NPPES CertifiedMarch 26, 2026
✔ NPI 1902745888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
19485 OLD JETTON RD STE 100, Cornelius, NC 28031
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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.

DR. GERARDO PEREZ DO
Student in an Organized Health Care Education/Training Program
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 316-5170
DR. RACHEL ANNE LATTERICH DO
Student in an Organized Health Care Education/Training Program
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 316-5170
MICHAELA LYNNE ROBERTS MD
Family Medicine
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 384-1775
DEVON VARNEY DO
Student in an Organized Health Care Education/Training Program
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 316-5170
JYOTHI PRAVALLIKA EDUPUGANTI DO
Student in an Organized Health Care Education/Training Program
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 316-5170
JAMIE DYVIG CREWS
Student in an Organized Health Care Education/Training Program
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 316-5170
DR. PUJA DALAL
Family Medicine
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 316-5170
NOVANT HEALTH MEDICAL GROUP, LLC
Family Medicine
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 384-1775

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 Gideon Johnson's NPI number?

The NPI number for Gideon Johnson is 1902745888. It was assigned to this individual provider in the NPPES registry on March 26, 2026.

Where is Gideon Johnson located?

Gideon Johnson practices at 19485 Old Jetton Rd Ste 100, Cornelius, NC 28031. The listed phone number is (704) 316-5170.

What is Gideon Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Gideon Johnson was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.