Look up the most recent NPI and PECOS records

Austin James Johnson

Student in an Organized Health Care Education/Training Program

Student, Health Care

Grand Strand Medical Center 809 82nd Pkwy, Myrtle Beach, SC 29572

PECOS Enrollment

This provider is enrolled in PECOS as AUSTIN JOHNSON.

Based on the most recent information from CMS, provider Austin James Johnson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:05 AM.

Profile Details

Provider ID
1871353920
Provider Type
Individual
Full Name
Johnson, Austin James
Title
Dr.

Gender
Male
Sole Proprietor
No
Enumeration Date
3/19/2024
Last Updated
3/19/2024

Contact Information

Practice Location

Grand Strand Medical Center 809 82nd Pkwy, Myrtle Beach, SC 29572

(843) 692-1000

Unlisted Fax

Mailing Location

Grand Strand Medical Center 809 82nd Pkwy, Myrtle Beach, SC 29572

(843) 692-1000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Austin James Johnson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Beson, Mclean

Charles, Karissa Lena Maria

Welter, Tyler James

Gandhi, Savan Hitesh

Barr, James Edward

Duff, Amy Lynn

Owens, Kelly Elizabeth

Crump, Everette Jordan

Boyd, Caroline

Raubenheimer, Thelmari