Julian Johnson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9104540 Issued in FL

Practice address

161 N Causeway Ste a
New Smyrna Beach, FL 32169-5328

Phone

(386) 424-1584

Fax

(386) 410-4800

NPI assigned

Jul 1, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Volusia Medical Center LLC

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1629279138
  Medicare reassignment
• Florida Primary Physicians

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1396371548
  NPD (past)

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1285074567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 N CAUSEWAY STE A",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321695328",
            "telephone_number": "386-424-1584",
            "fax_number": "386-410-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 N CAUSEWAY STE A",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321695328",
            "telephone_number": "386-424-1584",
            "fax_number": "386-410-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JULIAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009295100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John W Jepma, D.O.
• Jessica Magers, LLC
• Jillian Jiron-Hollman, COA
• De'la Johnson, NURSE PRACTITIONER
• Jacob Johnson
• Tracey Jones
• Beatriz Leticia Junqueira, MD
• Kanan Medical, LLC (New Smyrna Beach MD)
• Karen Burke LMT
• Andrea Katz, M.D.

• Physician Assistant in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.