Individual provider Active NPI

Carly Johns, PA-C

  • Physician Assistant
  • Jefferson Hills, PA
National Provider Identifier
1609659101
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA065998 Issued in PA
Practice address
565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone
(412) 267-6810
Fax
(412) 267-6810
NPI assigned
Aug 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.008420RX OH
Physician Assistant 363A00000X MA065998 PA Primary

Addresses

Primary practice location

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703

Mailing address

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone (412) 267-6810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231120002040 OH Practitioner - Physician Assistant 2062860646 Reassigns benefits to 1 organization
I20250210002713 PA Practitioner - Physician Assistant 2062860646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1 Saint Francis Way
Cranberry Township, PA 16066-5119
Phone (412) 665-8030

1 St Francis Way
Upmc Passavant Cranberry
Cranberry Township, PA 16066-5119
Phone (724) 772-5960

100 Medical Blvd
Canonsburg, PA 15317-9762
Phone (724) 745-6100

200 Lothrop St
Pittsburgh, PA 15213-2546
Phone (412) 383-1370

4800 Friendship Ave
Pittsburgh, PA 15224-1722

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone (412) 267-6901

9100 Babcock Blvd
Pittsburgh, PA 15237-5815
Phone (412) 367-6700

One St Francis Way
Suite 206
Cranberry, PA 16066-5119
Phone (724) 720-5991

Hospital & facility affiliations

  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265
  • Upmc Passavant Hospital, Pittsburgh, PA, CCN 390107
  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.008420RXOHMDPhysician Assistant
MA065998PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jan 12, 2026 Accepting new patients
Allegheny Clinic CurrentSince Feb 1, 2025 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jan 12, 2026 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Physician Assistant CurrentSince Nov 27, 2023 Accepting new patients
Allegheny Clinic CurrentSince Feb 1, 2025 Accepting new patients

Locations

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

2213 Cherry St
Unit B
Toledo, OH 43608
Phone (419) 251-5155

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

Interoperability endpoints

  • Direct secure messaging: cjohns1000610@direct.ahn.org

Organizations & group practices 10

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1609659101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 COAL VALLEY RD",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253703",
            "telephone_number": "412-267-6810",
            "fax_number": "412-267-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 COAL VALLEY RD",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253703",
            "telephone_number": "412-267-6810",
            "fax_number": "412-267-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "CARLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.008420RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Hills, PA

Sources for this page

Verify at the official NPI Registry.