Individual provider Active NPI

Colton Kyle Johnston, ACNPC-AG

  • Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1003376328
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11001964 Issued in FL
Practice address
1834 Lisenby Ave
Panama City, FL 32405-3761
Phone
(850) 215-6008
Fax
(850) 215-6020
NPI assigned
Mar 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9343192 FL
Nurse Practitioner 363L00000X APRN11001964 FL Primary

Addresses

Primary practice location

1834 Lisenby Ave
Panama City, FL 32405-3761

Mailing address

1834 Lisenby Ave
Panama City, FL 32405-3761
Phone (850) 215-6008

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address COLTON.JOHNSTON@hca5.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190619002617 FL Practitioner - Nurse Practitioner 8628302908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Heart and Vascular LLCGroup PAC ID 1254714694, 6 clinicians

Practice addresses (Care Compare)

2428 Jenks Ave
Panama City, FL 32405-4304
Phone (850) 215-6008

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9343192FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Heart and Vascular LLC CurrentSince Jun 5, 2023 Accepting new patients

Locations

1360 Brickyard Rd
Chipley, FL 32428
Phone (850) 415-8300

1834 Lisenby Ave
Panama City, FL 32405
Phone (850) 215-6008

2428 Jenks Ave
Panama City, FL 32405
Phone (317) 696-3288

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGFICD/Endpoint/JGFICD
  • Direct secure messaging: colton.johnston@hca5.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGFICD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1003376328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 LISENBY AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053761",
            "telephone_number": "850-215-6008",
            "fax_number": "850-215-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 LISENBY AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053761",
            "telephone_number": "850-215-6008",
            "fax_number": "850-215-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "COLTON",
        "middle_name": "KYLE",
        "name_prefix": "Mr.",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-22",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9343192",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11001964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "COLTON.JOHNSTON@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2202 State Ave Ste 207",
            "city": "Panama City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "324054582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.