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

Laken Marie Johnson, MD

Individual provider Pediatrics Physician · NPI 1760050603

Laken Marie Johnson, MD is a Pediatric Medicine in Charleston, South Carolina. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in South Carolina.

Years since qualifying
4
Licensed in
SC
In the registry since
2021
Specialties on file
2
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

135 Rutledge Ave
Charleston, SC 29425-4700
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 — (843) 402-1634

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 1689753519 (SC)
Hospitalist Physician Taxonomy 208M00000X · Licence 88063 (SC)

Record details

NPI number1760050603
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2021
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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