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

Dr. Cody Tyler Johnson, DO

Individual provider Emergency Medicine Physician · NPI 1558711911

Dr. Cody Tyler Johnson, DO is an Emergency Medicine in Anderson, South Carolina. Graduated from Michigan State University College of Osteopathic Medicine in 2016, 10 years ago. Practices with Spartanburg Medical Center, a 1,067-clinician group and accepts Medicare assignment. Licensed in Michigan and South Carolina.

Years since qualifying
10
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI, SC
In the registry since
2016
Specialties on file
2
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

800 N Fant St
Anderson, SC 29621-5708
Phone: (864) 512-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 83087 (SC)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 5101022301 (MI)

Record details

NPI number1558711911
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 16, 2016
Last updated in NPPESJune 5, 2020
Certification dateJune 5, 2020

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Spartanburg Medical Center — 1067 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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