Individual provider · Type 1 NPI

Charles Johnson, MD

Diagnostic Radiology Physician · Jacksonville, FL

NPI number 1609187517 Active

Practice location

554 Keily Street
Jacksonville, FL 32212

Call (757) 953-7550 Map

Fax (757) 953-7560

Mailing address

554 Keily Street, Bureau Of Medicine And Surgery, Centralized Credential And Privileging Directorate
Jacksonville, FL 32212

Other practice locations

  • 620 John Paul Jones Cir, Portsmouth, VA 23708-2197 · (850) 291-7304
  • 2300 Opitz Blvd, Woodbridge, VA 22191-3311 · (703) 523-1199
  • 743 Spring St NE, Gainesville, GA 30501-3715 · (770) 219-8420

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X0101250181 (VA)
Diagnostic Radiology Physician 2085R0202X89692 (GA)
Diagnostic Radiology Physician Primary 2085R0202XME110710 (FL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1609187517

Charles Johnson, MD's National Provider Identifier is 1609187517, issued on Jun 24, 2010. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 8, 2025.