Active NPI
Courtney Johnson
- Surgical Physician Assistant
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 8000 Sr 64 E
Bradenton, FL 34212 - Phone
- (941) 792-1404
- Fax
- (941) 761-0712
- NPI assigned
- Jul 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
8000 Sr 64 E
Bradenton, FL 34212
Mailing address
8000 Sr 64 E
Bradenton, FL 34212
Phone (941) 792-1404
Other practice location 1
11531 30th Cv E
Parrish, FL 34219-8982
Phone (941) 404-6454
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Medical University of South Carolina College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8340 Lakewood Ranch Blvd
Suite 300
Lakewood Ranch, FL 34202-5046
Phone (941) 792-1404
Hospital & facility affiliations
- Lakewood Ranch Medical Center
- HCA Florida Sarasota Doctors Hospital
- HCA Florida Blake Hospital
- Manatee Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Orthopedics & Sports Medicine of Southwest Florida PA | Current | Accepting new patients |
Locations
8000 State Road 64 E
Bradenton, FL 34212
Phone 94179214043315
6015 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 782-0101
6015 Pointe West Blvd
Ste 100
Bradenton, FL 34209
Phone 9417921404 ext. 3147
6202 17th Ave W
Bradenton, FL 34209
8340 Lakewood Ranch Blvd
Ste 300
Lakewood Ranch, FL 34202
Phone (941) 316-8200
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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.
-
- Orthopaedic Surgery Physician
- Bradenton, FL
- NPI 1285740720
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bradenton, FL
- NPI 1114964244
-
- General Acute Care Hospital
- Bradenton, FL
- NPI 1730179714
-
- General Acute Care Hospital
- Bradenton, FL
- NPI 1760472799
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1003862053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1164946752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 SR 64 E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34212",
"telephone_number": "941-792-1404",
"fax_number": "941-761-0712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 SR 64 E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34212",
"telephone_number": "941-792-1404",
"fax_number": "941-761-0712"
}
],
"practiceLocations": [
{
"address_1": "11531 30th Cv E",
"address_purpose": "LOCATION",
"city": "Parrish",
"state": "FL",
"postal_code": "342198982",
"country_code": "US",
"telephone_number": "941-404-6454",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "COURTNEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-26",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.