Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Denise Johnson

Individual provider Family Nurse Practitioner · NPI 1417507526

Denise Johnson is a Nurse Practitioner in Mullins, South Carolina. Qualified in 2018, 8 years ago. Practices with McLeod Regional Medical Center of the Pee Dee Inc, a 407-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
8
Licensed in
SC
In the registry since
2019

Practice location Address checks out

115 Bolyn Ct
Mullins, SC 29574-2212
Phone: (843) 731-7463
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F11180248 (SC)

Record details

NPI number1417507526
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 19, 2019
Last updated in NPPESFebruary 22, 2021
Certification dateFebruary 22, 2021
Mailing address115 Bolyn Ct, Mullins, SC 29574-2212

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice McLeod Regional Medical Center Of The Pee Dee Inc — 407 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mullins