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

Dr. Charisse D Johnson, MD

Individual provider Pediatrics Physician · NPI 1134399025

Dr. Charisse D Johnson, MD is a Pediatrics Physician in Granger, Indiana. Works from 4 locations. Licensed in Indiana and Michigan.

Licensed in
IN, MI
In the registry since
2008
Specialties on file
2
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

229 Florence Ave Ste 233
Granger, IN 46530-8048
Phone: (574) 855-4575
Fax: (833) 314-0410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 7150 Clearvista Dr, Indianapolis, IN 46256-1695 — (317) 621-9650
  • 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 — (574) 647-4540
  • 1501 W Chisholm St, Alpena, MI 49707-1401 — (989) 356-8088

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 01068390A (IN)
Pediatrics Physician Taxonomy 208000000X · Licence 4301117107 (MI)

Record details

NPI number1134399025
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 6, 2008
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

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