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

Dr. Nichole Lynette Johnson, MD

Individual provider Family Medicine Physician · NPI 1295052843

Dr. Nichole Lynette Johnson, MD is a Family Practice in Charlotte, North Carolina. Qualified in 2010, 16 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
16
Licensed in
NC
In the registry since
2010
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

10810 Mallard Creek Rd
Charlotte, NC 28262-9786
Phone: (704) 510-8000
Fax: (704) 510-8006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2610 W Arrowood Rd, Charlotte, NC 28273-6134 — (704) 316-1700

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2012-01876 (NC)

Record details

NPI number1295052843
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 22, 2010
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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