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

Dr. Charles C Johnson, DO

Individual provider Family Medicine Physician · NPI 1902906464

Dr. Charles C Johnson, DO is a Family Practice in Lexington, Kentucky. Qualified in 1988, 38 years ago. Accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
38
Licensed in
KY
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1000 Monarch St Ste 100
Lexington, KY 40513
Phone: (859) 278-8421
Fax: (859) 278-1751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 02349 (KY)

Record details

NPI number1902906464
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 25, 2006
Last updated in NPPESAugust 2, 2019

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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