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

Individual provider Certified Registered Nurse Anesthetist · NPI 1275672628

Kimberly R Johnson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Charleston, South Carolina. Qualified in 1993, 33 years ago. Practices with Trident Anesthesia Group LLC, a 119-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
33
Licensed in
SC
In the registry since
2007
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

9263 Medical Plaza Dr Ste E
Charleston, SC 29406-7112
Phone: (843) 572-1228
Fax: (877) 561-7564
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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 58 (SC)

Record details

NPI number1275672628
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 5, 2007
Last updated in NPPESNovember 14, 2013

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Trident Anesthesia Group Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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