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

NPI Status: Active since June 04, 2009

Contact Information

724 ARDEN LN
SUITE 100
ROCK HILL, SC
ZIP 29732
Phone: (803) 980-7337
Fax: (803) 980-2229

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  • Individual
  • Male
  • Clinical Nurse Specialist
  • Pediatrics
  • Accepts Insurance

About JACK JOHNSON

This page provides the complete NPI Profile along with additional information for Jack Johnson, a provider established in Rock Hill, South Carolina with a medical specialization in Clinical Nurse Specialist, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1962638999 assigned on June 2009. The practitioner's primary taxonomy code is 364SP0200X with license number 3360 (SC). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1962638999
Provider Name
MR. JACK FRANK JOHNSON III APRN
Other Name
MR. JAY JOHNSON III APRN
Other Name Type
Other Name (5)
Gender
Male
Entity Type
Individual
Location Address
724 ARDEN LN SUITE 100 ROCK HILL, SC 29732
Location Phone
(803) 980-7337
Location Fax
(803) 980-2229
Mailing Address
724 ARDEN LN SUITE 100 ROCK HILL, SC 29732
Mailing Phone
(803) 980-7337
Mailing Fax
(803) 980-2229
Is Sole Proprietor?
No
Enumeration Date
06-04-2009
Last Update Date
06-04-2009
Code Navigator

A Clinical Nurse Specialist (CNS) like Jack Johnson is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Nurse Specialist Pediatrics

Taxonomy Code
364SP0200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
3360
License State
SC

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze with Atrium Health - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3360OTHER (01)SCSOUTH CAROLINA STATE LICENSE
54-03360OTHER (01)SCSOUTH CAROLINA CONTROLLED SUBSTANCES CERTIFICATE OF REGISTRATION

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962638999, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 1 + 2 + 3 + 1 + 6 + 9 + 1 + 8 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1962638999.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Pediatrics
724 ARDEN LN, SUITE 100
ROCK HILL, SC 29732
Podiatrist
724 ARDEN LN, SUITE 200
ROCK HILL, SC 29732
Optometrist
724 ARDEN LN, SUITE 120
ROCK HILL, SC 29732
Nurse Practitioner
724 ARDEN LN, SUITE 100
ROCK HILL, SC 29732
Pediatrics
724 ARDEN LN, SUITE 100
ROCK HILL, SC 29732

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962638999, enumerated as an "individual" on June 04, 2009.

The provider is located at 724 ARDEN LN SUITE 100 ROCK HILL, SC 29732 and the phone number is (803) 980-7337.

Clinical Nurse Specialist with taxonomy code 364SP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.