| NPI | 1033590054 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2015-06-16 |
| Last Updated | 2025-09-29 |
| Mailing Address | Po Box 421718 Georgetown, SC 29442-4203 United States Phone: (843) 527-7000 📍 View Map |
| Primary Practice Address | 4040 Highway 17 Unit 104 Murrells Inlet, SC 29576-5098 United States Phone: (864) 561-1716 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208600000X – Surgery | SC | LL38420 |
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About NPI 1033590054
Jack Johnston MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1033590054. The primary specialty listed is Surgery. The provider is located in Murrells Inlet, SC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-06-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1033590054?
NPI 1033590054 belongs to Jack Johnston MD, a Surgery in Murrells Inlet, SC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1033590054 active?
The current status of NPI 1033590054 in the NPPES registry is Active. The record was last updated on 2025-09-29.
What specialty is NPI 1033590054?
NPI 1033590054 is classified under the taxonomy Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1033590054?
You can verify NPI 1033590054 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1033590054?
The primary practice address on file for NPI 1033590054 is 4040 Highway 17 Unit 104, Murrells Inlet, SC 29576-5098. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1033590054 issued?
NPI 1033590054 was first issued (enumerated) on 2015-06-16. The NPPES record was last updated on 2025-09-29.
Practice Location Map
Jack Johnston is located at 4040 Highway 17 Unit 104, Murrells Inlet, SC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Jack Johnston. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1033590054. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Surgery | LL38420 | SC |