Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659309367 Individual Practitioner Male Practitioner

Dr. Charles E. Johnson , MD

Pediatrics • South Williamson, KY

Professional Overview & Biography Verified Profile Summary

Dr. Charles Johnson, MD is a registered healthcare professional specializing in Pediatrics in South Williamson, KY. Practice services are available at 306 HOSPITAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

306 Hospital Dr

South Williamson, KY 415034095

Telephone 6062371766
Fax 6062371790
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in South Williamson, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
4 Specialists

Practicing in South Williamson, KY (910 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License KY 25945

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
65920951 (KY)
Medicaid State Provider ID
0106847000 (WV)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1053348466

Doctor of Medicine (M.D.)

Caitlyn Smith , APRN

Student in an Organized Health Care Education/Training Program

NPI 1063245488

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 306 HOSPITAL DR, SOUTH WILLIAMSON, KY 415034095 (Tel: 6062371766)

📍
Updated Business Mailing Address July 08, 2007

Registered at 306 HOSPITAL DR, SOUTH WILLIAMSON, KY 415034095 (Tel: 6062371766)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #25945 in KY)

🟢
Initial NPI Registration & Enumeration June 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659309367
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

306 Hospital Dr

South Williamson, KY 415034095

Phone: 6062371766

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.