Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Jacob Johnson, SOIDC

Independent Duty Corpsman in Holly Ridge, NC · enumerated 2020.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588273999

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Registry record

Entity type Individual (Type 1)

Name Jacob Johnson

Credential SOIDC

Sex Male

Practice address Holly Ridge, NC, 28445

Phone (573) 201-6504

Enumeration date Jul 31, 2020

Last updated in NPPES Jul 31, 2020

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1710I1002X Independent Duty Corpsman Other Service Providers Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jacob Johnson practice?

The practice location on file with NPPES is in Holly Ridge, NC. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Jacob Johnson?

The National Provider Identifier (NPI) for Jacob Johnson is 1588273999, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Timothy Berrey Independent Duty Corpsman · Holly Ridge, NC NPI 1285246678

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-07-31.