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STEPHANIE BROOKE PROVOST JOHNSTON M.D. NPI 1801073812


NPI Information

NPI: 1801073812
Provider Name: STEPHANIE BROOKE PROVOST JOHNSTON, M.D.
Classification: Pediatrics - 2080H0002X
Entity Type: Individual

Specialization: Hospice and Palliative Medicine

PECOS Registration: Yes

Address:
890 W FARIS RD
SUITE 470
GREENVILLE, SC
ZIP 29605
Phone: (864) 455-5938
Get Directions

Stephanie Brooke Provost Johnston, M.D. is a hospice and palliative medicine pediatrics in Greenville, SC. The provider is a pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. Stephanie Brooke Provost Johnston, M.D. NPI is 1801073812. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

890 W FARIS RD
SUITE 470
GREENVILLE, SC
ZIP 29605-253
Phone: (864) 455-5938

The NPI 1801073812 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/22/2008 and was last updated on 1/30/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080H0002XPediatricsHospice and Palliative Medicine36228SOUTH CAROLINAYes
2208000000XPediatrics68041741205UTAHNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1362280MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.