CHARLES DAVID JOHNSON AGACNP NPI 1437538410

NPI Information

  • NPI: 1437538410
  • Provider Name: CHARLES DAVID JOHNSON, AGACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6051 U S HIGHWAY 49
    HATTIESBURG, MS
    ZIP 39401
  • Phone: (601) 288-7000

Map and Directions

Get Directions

NPI Details

Charles David Johnson, AGACNP is an acute care nurse practitioner in Hattiesburg, MS with 11 years of experience. Charles David Johnson, AGACNP NPI is 1437538410. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6051 U S HIGHWAY 49
HATTIESBURG, MS
ZIP 39401-200
Phone: (601) 288-7000
Fax: (601) 450-0518

The NPI 1437538410 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older (HCPCS:36573)
  • Drainage of fluid from abdominal cavity using imaging guidance (HCPCS:49083)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Insertion of needle into vein (3 years or older) (HCPCS:36410)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS:36556)
  • Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance (HCPCS:62328)
  • Replacement of peripherally inserted central venous tube (picc) with review by radiologist (HCPCS:36584)

The enumeration date for this NPI number is 5/24/2015 and was last updated on 7/28/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute CareR875364MISSISSIPPIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103600303MEDICAIDMISSISSIPPI

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI