Search › Indiana › 208000000X
Charisse Johnson, MD
NPI 1134399025 · on the registry since 2008
Practice
- Address
- 229 Florence Ave Ste 233
Granger, IN 46530 - Phone
- (574) 855-4575
- Fax
- (833) 314-0410
- Organisation at this address
- Premier Pediatrics Of Indiana Llc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 7150 Clearvista Dr, Indianapolis, IN
- 100 Navarre Pl Ste 4440, South Bend, IN
- 1501 W Chisholm St, Alpena, MI
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Also registered as
- 208000000X
- Licence states on file
- IN, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana