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

Dr. Charles Johnson, MD

Individual provider Diagnostic Radiology Physician · NPI 1609187517

Dr. Charles Johnson, MD is a Diagnostic Radiology in Jacksonville, Florida. Graduated from University of Minnesota Medical School in 2010, 16 years ago. Practices with Northside Radiology Associates LLC, a 384-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida, Georgia and Virginia.

Years since qualifying
16
Trained at
University of Minnesota Medical School
Licensed in
FL, GA, VA
In the registry since
2010
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

554 Keily St
Jacksonville, FL 32212
Phone: (757) 953-7550
Fax: (757) 953-7560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 743 Spring St Ne, Gainesville, GA 30501-3715 — (770) 219-8420
  • 620 John Paul Jones Cir, Portsmouth, VA 23708-2197 — (850) 291-7304
  • 2300 Opitz Blvd, Woodbridge, VA 22191-3311 — (703) 523-1199

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME110710 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0101250181 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 89692 (GA)

Record details

NPI number1609187517
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 24, 2010
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2010 (16 years in practice)
Group practice Northside Radiology Associates Llc — 384 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations22 on file with Medicare

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