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

Tracey Lee Carson-Johnson, NP-C

Individual provider Registered Nurse · NPI 1609467638

Tracey Lee Carson-Johnson, NP-C is a Nurse Practitioner in Henderson, North Carolina. Qualified in 2021, 5 years ago. Practices with Vance Family Medicine PA, a 31-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

381 Ruin Creek Rd
Henderson, NC 27536-2932
Phone: (252) 430-0666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F08210319 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 269699 (NC)

Record details

NPI number1609467638
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedFebruary 2, 2021
Last updated in NPPESAugust 9, 2021
Certification dateAugust 9, 2021
Mailing address2625 Pauline Oaks Dr, Franklinton, NC 27525-8440

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Vance Family Medicine Pa — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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