Individual provider Active NPI

Leigh Anne Johnson, PA

  • Physician Assistant
  • Clearwater, FL
National Provider Identifier
1164964193
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9109867 Issued in FL
Practice address
4895 E Bay Dr Unit 120
Clearwater, FL 33764-6878
Phone
(727) 330-3988
NPI assigned
Nov 8, 2016
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9109867 FL Primary

Addresses

Primary practice location

4895 E Bay Dr Unit 120
Clearwater, FL 33764-6878

Mailing address

4895 E Bay Dr Unit 120
Clearwater, FL 33764-6878
Phone (727) 330-3988

Other names 1

  • Leighanne Johnson Other name

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
I20161215002102 FL Practitioner - Physician Assistant 6507146206 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carespot of Orlando Hsi Urgent Care LLCGroup PAC ID 8921372558, 55 clinicians

Practice addresses (Care Compare)

3301 4TH St N
Suite 100
St Petersburg, FL 33704-1305
Phone (727) 526-3627

3840 State Rd
436 Suite 1000
Apopka, FL 32703-6041
Phone (615) 600-4074

4895 E Bay Dr
Unit 120
Clearwater, FL 33764-6878
Phone (727) 330-3988

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Specialists, LLC CurrentSince Nov 8, 2016 Accepting new patients
Carespot of Orlando / Hsi Urgent Care LLC CurrentSince Mar 19, 2023 Accepting new patients
Florida Medical Specialists LLC CurrentSince Nov 8, 2016 Accepting new patients
Florida Medical Specialists LLC Past Accepting new patients
HPP Physicians LLC PastSince Jul 16, 2023 Accepting new patients

Locations

4401 Cortez Rd W
Bradenton, FL 34210
Phone (941) 357-5550

4895 E Bay Dr
Unit 120
Clearwater, FL 33764
Phone (727) 330-3988

3830 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 921-0383

3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872

3844 Bee Ridge Rd
Fl 2
Sarasota, FL 34233
Phone (941) 202-5342

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1164964193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4895 E BAY DR UNIT 120",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646878",
            "telephone_number": "727-330-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 E BAY DR UNIT 120",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646878",
            "telephone_number": "727-330-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LEIGH ANNE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIGHANNE",
            "last_name": "JOHNSON",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.