JACK JOHNSTON MD – NPI #1033590054
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Health Care Provider Taxonomy Code for Surgery

JACK JOHNSTON is a surgeon located in MURRELLS INLET, SC. NPPES has assigned the NPI number 1033590054 to JACK JOHNSTON on June 16, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was last updated on Sep 29, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACK JOHNSTON below.

NPI Profile for
JACK JOHNSTON

NPI Number
1033590054
Enumeration Date

(about 11 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JACK JOHNSTON
Credentials
MD
Primary location
4040 HIGHWAY 17 UNIT 104
MURRELLS INLET, SC 29576-5098
Phone: (864) 561-1716 Fax:
3 Other location(s):
1014 Huger Dr
Georgetown, SC 29440-3322
Phone: (843) 520-8780
606 Black River Rd Ste 301
Georgetown, SC 29440-3304
Phone: (843) 520-8780
2200 Crow Ln Ste 303B
Myrtle Beach, SC 29577-1663
Phone: (843) 652-8399
Mailing address
PO BOX 421718
GEORGETOWN, SC 29442-4203
Phone: (843) 527-7000 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Sep 29, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208600000X
- Surgery (Primary)		 SC LL38420

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
CSV
Affiliation
Y
Endpoint Location
1014 HUGER DR,
GEORGETOWN, SC 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
CSV
Affiliation
Y
Endpoint Location
2200 CROW LN STE 303B,
MYRTLE BEACH, SC 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
CSV
Affiliation
Y
Endpoint Location
4040 HIGHWAY 17 UNIT 104,
MURRELLS INLET, SC 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
CSV
Affiliation
Y
Endpoint Location
606 BLACK RIVER RD STE 301,
GEORGETOWN, SC 77025-1669

Additional Information

Education
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE - Graduated 2015
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JACK JOHNSTON is affiliated with the following medical group(s):
  • HOSPITAL
    • TIDELANDS GEORGETOWN MEMORIAL HOSPITAL
      606 BLACK RIVER RD DRAWER 1718
      GEORGETOWN, SC 29440
    • TIDELANDS WACCAMAW COMMUNITY HOSPITAL
      4070 HWY 17
      MURRELLS INLET, SC 29576

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.