CHARLOTTE JOHNSON (MD) – Family Medicine Physician, NPI 1235209651

CHARLOTTE JOHNSON (MD) is a healthcare provider. based in Holland, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4301062100 (MI). The NPI Number for CHARLOTTE JOHNSON (MD) is 1235209651

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
CHARLOTTE JOHNSON (MD)
NPI
1235209651
Phone
(616) 396-6516
Address
382 N 120TH AVE
Enumeration Date
9 November 2006
Last Update Date
12 January 2011

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
6163966516
Graduation Year
1993 (33 years ago)
PAC ID
2365452372
Group Practice PAC ID
0749290740
Professional Enrollment ID
I20060505000133
Address ID
MI494242169HO382XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for CHARLOTTE JOHNSON (MD)

  • 120th Avenue, Holland, Holland Charter Township, Ottawa County, Michigan, 49423, United States

    HOLLAND, MI 494242169

    Phone: (616) 396-6516

    Fax: (616) 396-2513

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: PFIZER INC. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$21
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-05-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060505000133IFamily PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7142$0
99213Established patient office or other outpatient visit, 20-29 minutes3934$0
View full utilization report →

Insurance plans in this area (ZIP 49424)

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Provider's Procedures

CHARLOTTE JOHNSON (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMI90670Pneumococcal vaccine for injection into muscle1313

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749290740View full group profile
NameSpecialtyState
Nurse PractitionerMI
Family PracticeMI
Family PracticeMI
Family PracticeMI
Nurse PractitionerMI
Family PracticeMI
Nurse PractitionerMI
Family PracticeMI
Family PracticeMI
Family PracticeMI

Reviews

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Frequently asked questions

Does CHARLOTTE JOHNSON (MD) have a public NPI I can cite?
Public records show CHARLOTTE JOHNSON (MD) under NPI 1235209651.
Should I treat CHARLOTTE JOHNSON (MD) as an active provider?
Patients and plans typically see CHARLOTTE JOHNSON (MD) as active in the national extract.
Which specialty label fits CHARLOTTE JOHNSON (MD)?
NPPES ties CHARLOTTE JOHNSON (MD) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to CHARLOTTE JOHNSON (MD)?
The directory associates CHARLOTTE JOHNSON (MD) with Holland, Michigan. Check all listed addresses for suites or satellite offices.
Who maintains CHARLOTTE JOHNSON (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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