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

Dr. Matthew Jeffrey Johnson Jr., MD

Individual provider Surgery Physician · NPI 1255710810

Dr. Matthew Jeffrey Johnson Jr., MD is a Surgery Physician in Mooresville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

229 Medical Park Rd Ste 300
Mooresville, NC 28117-8544
Phone: (704) 360-9995
Fax: (704) 360-2221
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 2019-02699 (NC)
Surgery Physician Taxonomy 208600000X · Licence 2019-02699 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255710810
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2015
Last updated in NPPESApril 1, 2022
Certification dateApril 1, 2022

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