Doctor profile · Federal record
Dr. Charisse Johnson, MD
Pediatrics Physician · Pediatrics Physician · Granger, IN
- NPI 1134399025
- 18 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 4 locations .
- Primary practice
-
229 Florence Ave Ste 233
Granger, IN 465308048
(574) 855-4575
fax (833) 314-0410 - Additional location
-
100 Navarre Pl Ste 4440
South Bend, IN 466011171
(574) 647-4540
fax (574) 647-4542 - Additional location
-
7150 Clearvista Dr
Indianapolis, IN 462561695
(317) 621-9650
fax (317) 621-7877 - Additional location
-
1501 W Chisholm St
Alpena, MI 497071401
(989) 356-8088
fax (989) 356-6981
Show 1 more location
Credentials & registration
- NPI registered
- March 2008 — 18 yrs on file
- Profile last updated
- November 24, 2025
- Specialty taxonomy
- 208000000X — NUCC code
- State licenses (2)
- Indiana #01068390A · Michigan #4301117107
- Medicaid (2)
- MI #1134399025 · IN #200987950
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1134399025. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$75
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Supernus Pharmaceuticals, Inc. | 1 | $27.89 | |
| Genentech USA, Inc. | 1 | $26.02 | |
| AstraZeneca Pharmaceuticals LP | 1 | $21.50 |
By nature of payment
Frequently asked questions
What is Dr. Charisse Johnson's medical specialty?
Dr. Charisse Johnson practices Pediatrics Physician in Granger, IN.
Where does Dr. Charisse Johnson practice?
Dr. Charisse Johnson practices at 229 Florence Ave Ste 233, Granger, IN 465308048. Office phone: 5748554575.
What is Dr. Charisse Johnson's NPI?
Dr. Charisse Johnson's National Provider Identifier (NPI) is 1134399025, issued by NPPES.