Johnny Johnson, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00777 Issued in TX

Practice address

4211 Joe Ramsey Blvd
Suite 100
Greenville, TX 75401

Phone

(903) 408-5838

Fax

(903) 408-5839

NPI assigned

Oct 14, 2009

Last updated

Jun 8, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Practice roles

Locations

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.

• Hunt Regional Medical Partners

  • Family Medicine Physician
  • Greenville, TX
  • NPI 1235435892
  Medicare reassignment NPD
• Healthtexas Provider Network

  dba Pca Royse City

  • Rural Health Clinic/Center
  • Royse City, TX
  • NPI 1063630937
  NPD
• Hunt Regional Medical Partners

  dba Hunt Regional Pediatric Clinic Greenville

  • Rural Health Clinic/Center
  • Greenville, TX
  • NPI 1548143134
  NPD
• Pca-C

  • Family Medicine Physician
  • Greenville, TX
  • NPI 1982924239
  NPD (past)

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1477888196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 JOE RAMSEY BLVD",
            "address_2": "SUITE 100",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "75401",
            "telephone_number": "903-408-7700",
            "fax_number": "903-408-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 JOE RAMSEY BLVD",
            "address_2": "SUITE 100",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "75401",
            "telephone_number": "903-408-5838",
            "fax_number": "903-408-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOHNNY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-14",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA00777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JMS Greenville Dental PLLC
• John C.H. Wang, DO, PA
• John D. Coble (Eyecare of Greenville)
• John D. Coble (Eyecare of Royse City)
• Amy Elizabeth Johnson, PT, DPT
• Michael E. Johnson, MD
• Nathaniel Zachary Johnson, PT, DPT
• William Allen Johnson
• Aubrey Faith Jones, LPC-A
• Caitlyn Jones, DC

• Medical Physician Assistant in Greenville, TX
• Providers in Greenville, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.