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

Dr. Kenneth M Johnson III, MD

Individual provider Emergency Medicine Physician · NPI 1740209410

Dr. Kenneth M Johnson III, MD is an Emergency Medicine in Southern Pines, North Carolina. Graduated from State University of Ny Upstate Medical University in 2004, 22 years ago. Practices with Sandhills Emergency Physicians PA, a 26-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
22
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2006
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

1271 Old US 1 Hwy
Southern Pines, NC 28387-6308
Phone: (607) 423-3949
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 240274 (NY)

Record details

NPI number1740209410
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2004 (22 years in practice)
Group practice Sandhills Emergency Physicians Pa — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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