What is Larry Johnson's NPI number?

Larry Johnson's National Provider Identifier (NPI) is 1104618008, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Larry Johnson's specialty?

Larry Johnson is listed in the NPPES registry with a primary specialty of Customized Equipment (DME) (Suppliers).

Where is Larry Johnson located?

Larry Johnson's practice location on file with NPPES is 320 Pinnacle Ridge Dr, Columbia, SC 29229-7076.

What is Larry Johnson's phone number?

The practice phone number listed in the NPPES registry for Larry Johnson is (803) 479-8185.

Is Larry Johnson's NPI active?

Yes — Larry Johnson's NPI (1104618008) is active in the NPPES registry as of the last update on 2025-05-19.

IndividualActive

Larry Johnson

NPI 1104618008 · Customized Equipment (DME) · Columbia, SC

Larry Johnson is a Customized Equipment (DME) provider in Columbia, SC (NPI 1104618008).

Provider details

NPI number: 1104618008
Entity type: Individual
Primary specialty: Customized Equipment (DME)Suppliers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Customized Equipment (DME)Primary332BC3200X
Suppliers

Profile Score

Basic profile(48/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

320 Pinnacle Ridge Dr

Columbia, SC 29229-7076

Phone: (803) 479-8185

Street-level locationGet directions

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Mailing address