Johannah Walker, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601013016 Issued in MI

Practice address

29201 Telegraph Rd Ste 500
Southfield, MI 48034-7648

Phone

(248) 569-5985

NPI assigned

Feb 21, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ear Nose and Throat Consultants PCGroup PAC ID 4284604174, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Ear Nose and Throat Consultants PC

  dba Quality Hearing Aid Center

  • Specialist
  • Southfield, MI
  • NPI 1053484048
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1235935123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 500",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347648",
            "telephone_number": "248-569-5985",
            "fax_number": "248-349-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 500",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347648",
            "telephone_number": "248-569-5985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31450 7 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481521374",
            "country_code": "US",
            "telephone_number": "248-569-5985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44725 Grand River Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483751024",
            "country_code": "US",
            "telephone_number": "248-569-5985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27483 Dequindre Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480715711",
            "country_code": "US",
            "telephone_number": "248-569-5985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26110 Harper Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480813774",
            "country_code": "US",
            "telephone_number": "248-569-5985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JOHANNAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601013016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walk the Line to Sci Recovery, Inc.
• Walker Caring Hands LLC
• Charles R. Walker, TLLP
• Chyna R Walker
• Davonna Walker
• Katherine Lynn Walker, LMSW ACSW
• Kimerely Walker
• Makayla Walker
• Martin Walker
• Nicole Walker

• Physician Assistant in Southfield, MI
• Providers in Southfield, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.

Verify at the official NPI Registry.