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

Kevin Lewis Johnson, MD

Individual provider Family Medicine Physician · NPI 1891080479

Kevin Lewis Johnson, MD is a Family Practice in Greenville, South Carolina. Qualified in 2011, 15 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
15
Licensed in
NC, SC
In the registry since
2011
Specialties on file
3
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

701 Grove Rd
Greenville, SC 29605-5611
Phone: (864) 455-9022
Fax: (864) 455-9016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 — (919) 938-7189

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2014-01442 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 33747 (SC)
Hospitalist Physician Taxonomy 208M00000X · Licence 2014-01442 (NC)

Record details

NPI number1891080479
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2011
Last updated in NPPESOctober 28, 2023
Certification dateOctober 28, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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