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MR. JACK FRANK JOHNSON III APRN
NPI 1962638999
Clinical Nurse Specialist - Pediatrics in Rock Hill, SC

Active since June 04, 2009
724 ARDEN LN, SUITE 100, ROCK HILL, SC 29732(803) 980-7337(803) 980-2229 Get Directions Write a Review

NPPES record last updated: June 4, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jack Frank Johnson Iii Aprn NPPES

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

MR. JACK FRANK JOHNSON III APRN (NPI 1962638999) is an individual pediatrics provider in Rock Hill, South Carolina, licensed in South Carolina (3360) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1962638999
Entity TypeIndividualMale
Primary Taxonomy364SP0200X
Provider Legal NameMR. JACK FRANK JOHNSON IIICredential: APRN
Location Address724 ARDEN LN, SUITE 100Rock Hill, SC 29732-2996
Mailing Address724 Arden Ln, Suite 100Rock Hill, SC 29732-2996 · (803) 980-7337 · Fax (803) 980-2229
Phone(803) 980-7337
Fax(803) 980-2229
Sole ProprietorNo
Enumeration DateJune 4, 2009
✔ NPI 1962638999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0200X
License✔ Licensed in SC · 3360
724 ARDEN LN, Rock Hill, SC 29732
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Other Names 1

Other Name (5)Mr. Jay Johnson Aprn

Other Identifiers 2

Other3360SC · South Carolina State License
Other54-03360SC · South Carolina Controlled Substances Certificate Of Registration

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.Insurance ›

Other Providers at the Same Location NPPES 5

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

DR. LEE J RAYKOVICZ OD
Optometrist
724 ARDEN LN, SUITE 120
ROCK HILL, SC 29732
York County (704) 334-2020
PIEDMONT PODIATRY GROUP
Podiatrist
724 ARDEN LN, SUITE 200
ROCK HILL, SC 29732
York County (803) 366-9440
SUNSHINE PEDIATRICS
Pediatrics
724 ARDEN LN, SUITE 100
ROCK HILL, SC 29732
York County (803) 980-7337
KATHERINE FISHER APRN
Nurse Practitioner
724 ARDEN LN, SUITE 100
ROCK HILL, SC 29732
York County (803) 980-7337
DR. RAJESHKUMAR M. PATEL MD
Pediatrics
724 ARDEN LN, SUITE 100
ROCK HILL, SC 29732
York County (803) 980-7337

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 Jack Johnson's NPI number?

The NPI number for Jack Johnson is 1962638999. It was assigned to this individual provider in the NPPES registry on June 4, 2009. The provider is also known as Mr. Jay Johnson Aprn.

Where is Jack Johnson located?

Jack Johnson practices at 724 Arden Ln Suite 100, Rock Hill, SC 29732. The listed phone number is (803) 980-7337.

What is Jack Johnson's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Pediatrics, with taxonomy code 364SP0200X.

What insurance does Jack Johnson accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Jack 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.

When was this NPI record last updated?

The NPPES record for Jack Johnson was last updated on June 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.