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

Detty Thomas Johnson

Individual provider Certified Registered Nurse Anesthetist · NPI 1063927549

Detty Thomas Johnson is a Certified Registered Nurse Anesthetist (CRNA) in Apex, North Carolina. Qualified in 2018, 8 years ago. Practices with Duke Health Integrated Practice Inc, a 3,094-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2017

Practice location Address checks out

8505 Newberry Grove Dr
Apex, NC 27539-7970
Phone: (919) 670-7547
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 251930 (NC)

Record details

NPI number1063927549
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 6, 2017
Last updated in NPPESDecember 6, 2017
Mailing address8505 Newberry Grove Dr, Apex, NC 27539-7970

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Duke Health Integrated Practice Inc — 3094 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Apex