Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821718057 Individual Practitioner Female Practitioner

Kiesha Charis Johnson

Physician Assistant • Durham, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kiesha Johnson is a certified Physician Assistant practicing in Durham, NC. With approximately 4 years of clinical experience since completing medical education in 2022, Kiesha Johnson delivers high-quality medical care to the local community at 2314 NATION AVE APT 4.

Kiesha Johnson is affiliated with North Carolina Mg Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2314 Nation Ave Apt 4

Durham, NC 277072015

Telephone 9734891294

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Durham, NC

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -6.5 yrs vs City Avg
City Avg: 10.5 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
515 Specialists

Practicing in Durham, NC (9374 Statewide)

Telehealth Adoption Rate
21.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (4 Years) 4 Yrs
Durham Specialty Average (10.5 Years) 10.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-03-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 0010-13367

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

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.

Hospital & Practice Group Affiliations

North Carolina Mg Llc

509 N Brightleaf Blvd, Smithfield, NC 275774407

Phone: 9842154000

North Carolina Mg Llc

4420 Lake Boone Trl, Raleigh, NC 276077505

Secondary Practice Locations

509 N Brightleaf Blvd

Smithfield, NC 275774407

Phone: 9199387189

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2025

Physician Assistant

NPI Profile Active August 29, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 29, 2022

Registered at 2314 NATION AVE APT 4, DURHAM, NC 277072015 (Tel: 9734891294)

📍
Updated Business Mailing Address August 29, 2022

Registered at 2314 NATION AVE APT 4, DURHAM, NC 277072015 (Tel: 9734891294)

👤
Provider Name / Credentials Updated August 29, 2022

Recorded as KIESHA JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 29, 2022

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: 1821718057
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2022
Last Update: March 12, 2025
Sole Proprietor: No

Mailing Address

2314 Nation Ave Apt 4

Durham, NC 277072015

Phone: 9734891294

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.