Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL JERMAINE JOHNSON
Active Sole ProprietorSAMUEL JERMAINE JOHNSON is a Van Provider healthcare provider located in CHARLOTTE, North Carolina. NPI 1053271528 is currently active in the NPPES registry. Verify at CMS.
Van Provider · CHARLOTTE, NC
Registration Details
- NPI Number
- 1053271528
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2025 (0.73645790310293 yrs)
- Last Updated
- Nov 19, 2025
- License
-
20220851 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
528 CROCUS CTCHARLOTTE, NC, 282178012Browse NC providers · Browse ZIP 28217
- Phone
- 9802543970
- Primary Specialty
-
Van Provider
344600000X
Other Van Provider Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| MRS. TAISHA DEJESUS | — | 1255852554 |
| TYWAN BOOKER | — | 1821709510 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.