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

Eddie Lee Johnson Jr., CRNA

Individual provider Registered Nurse · NPI 1548369929

Eddie Lee Johnson Jr., CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Charleston, West Virginia. Qualified in 2003, 23 years ago. Practices with Novant Health New Hanover Regional Medical Center LLC, a 197-clinician group and accepts Medicare assignment. Licensed in North Carolina and West Virginia.

Years since qualifying
23
Licensed in
NC, WV
In the registry since
2006
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone: (304) 388-4077
Fax: (304) 388-9852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 290824 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 54873 (WV)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 70139 (WV)

Record details

NPI number1548369929
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 21, 2006
Last updated in NPPESMarch 17, 2021
Certification dateMarch 17, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Novant Health New Hanover Regional Medical Center Llc — 197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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