Individual provider Active NPI

Charles M Johnson Jr., PA-C

  • Physician Assistant
  • Carencro, LA
National Provider Identifier
1114940087
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.A10372 Issued in LA
Practice address
3824 NE Evangeline Trwy
Carencro, LA 70520-5966
Phone
(337) 565-2675
Fax
(337) 565-2676
NPI assigned
Jul 25, 2006
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X A30094 LA
Physician Assistant 363A00000X PA.A10372 LA Primary

Addresses

Primary practice location

3824 NE Evangeline Trwy
Carencro, LA 70520-5966

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (337) 565-2675

Other practice location 1

3444 Masonic Drive
Alexandria, LA 71301
Phone (318) 473-9556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20050514000018 LA Practitioner - Physician Assistant 0042251522 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CLHG-Oakdale LLCGroup PAC ID 1355623943, 37 clinicians
CLHG-Acadian LLCGroup PAC ID 0840521209, 31 clinicians
CLHG-Ville Platte LLCGroup PAC ID 4486903309, 41 clinicians

Practice addresses (Care Compare)

105 Hospital Dr
Oakdale, LA 71463-3034
Phone (318) 335-4320

130 Hospital Dr
Oakdale, LA 71463-3035
Phone (318) 315-7093

3501 Hwy 190
Eunice, LA 70535-5129
Phone (337) 580-7500

400 E 6TH Ave
Oakdale, LA 71463-2628
Phone (318) 315-7093

417 E Lincoln Rd
Suite a Fontenot Family Clinic
Ville Platte, LA 70586-3431
Phone (337) 363-5446

800 E Main St
Ville Platte, LA 70586-4618
Phone (337) 363-5684

PO Box
Suite 629
Oakdale, LA 71463

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
A30094LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Health, LLP CurrentSince Feb 15, 2025 Accepting new patients
Rapides Healthcare System LLC CurrentSince May 12, 2014 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Jun 1, 2020 Accepting new patients
CLHG-Acadian LLC CurrentSince Mar 9, 2025 Accepting new patients
CLHG-Ville Platte LLC CurrentSince Mar 9, 2025 Accepting new patients
CLHG-Oakdale LLC CurrentSince Jul 17, 2025 Accepting new patients
Rapides Healthcare System, LLC CurrentSince May 12, 2014 Accepting new patients
CLHG-Ville Platte LLC CurrentSince Mar 9, 2025 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Jun 1, 2020 Accepting new patients
CLHG-Acadian, LLC CurrentSince Mar 9, 2025 Accepting new patients
Imperial Health LLP CurrentSince Feb 15, 2025 Accepting new patients
CLHG-Oakdale, LLC Past Accepting new patients
Lourdes After Hours LLC Past Accepting new patients
Orthopaedic and Sports Medicine Specialist Past Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

501 Medical Center Dr
Ste 1A
Alexandria, LA 71301
Phone (318) 442-5800

3501 Highway 190
Eunice, LA 70535
Phone (337) 580-7500

3521 Highway 190
Ste T
Eunice, LA 70535
Phone (337) 457-8980

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258

242 Sam Houston Jones Pkwy
Moss Bluff, LA 70611
Phone (337) 905-4000

130 Hospital Dr
Oakdale, LA 71463
Phone (318) 215-3084

1884 Highway 165 S
Oakdale, LA 71463
Phone (318) 335-3501

213 Hospital Blvd
Pineville, LA 71360
Phone (318) 769-5664

503 Jack Miller Rd
Ville Platte, LA 70586
Phone (337) 336-5040

800 E Main St
Ville Platte, LA 70586
Phone (337) 363-5684

899 E Lasalle St
Ville Platte, LA 70586
Phone (337) 506-2255

Interoperability endpoints

  • Direct secure messaging: charles.johnson.1@27785.direct.athenahealth.com
  • Direct secure messaging: charles.johnson.1@29237.direct.athenahealth.com
  • Direct secure messaging: charles.johnson.1@5868.direct.athenahealth.com
  • Direct secure messaging: charles.johnson@hca7.eclinicaldirectplus.com

Organizations & group practices 16

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

View all 16

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1114940087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "337-565-2675",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 NE EVANGELINE TRWY",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705205966",
            "telephone_number": "337-565-2675",
            "fax_number": "337-565-2676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3444 Masonic Drive",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "71301",
            "country_code": "US",
            "telephone_number": "318-473-9556",
            "fax_number": "318-441-8310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHARLES",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "A30094",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.A10372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carencro, LA

Sources for this page

Verify at the official NPI Registry.