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

Dr. Blake Elliot Johnson, MD, MSC

Individual provider Urology Physician · NPI 1497389142

Dr. Blake Elliot Johnson, MD, MSC is an Urology in Charlotte, North Carolina. Graduated from University of North Carolina at Chapel Hill School of Medicine in 2020, 6 years ago. Practices with University of North Carolina at Chapel Hill, a 2,079-clinician group and accepts Medicare assignment. Licensed in North Carolina, South Carolina and Virginia.

Years since qualifying
6
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
NC, SC, VA
In the registry since
2020
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15830 Ballantyne Medical Pl Ste 175
Charlotte, NC 28277-0763
Phone: (704) 248-3400
Fax: (704) 337-8387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 2024-02754 (NC)
Urology Physician Taxonomy 208800000X · Licence 0101286931 (VA)
Urology Physician Taxonomy 208800000X · Licence 97637 (SC)

Record details

NPI number1497389142
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MSC
Sole proprietorNo
NPI enumeratedMarch 2, 2020
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice University Of North Carolina At Chapel Hill — 2079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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