Jerry Lynn Johnston, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

104108 Issued in NC

Practice address

Womack Army Medical Center
MCXC-Cod, Credentials Office, Attn: Sheila Blackwell
Fort Bragg, NC 28310-0001

Phone

(910) 907-8922

NPI assigned

Feb 8, 2006

Last updated

Jul 13, 2026By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609849835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 TIMBERSTREAM DR",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284619023",
            "telephone_number": "910-454-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WOMACK ARMY MEDICAL CENTER",
            "address_2": "MCXC-COD, CREDENTIALS OFFICE, ATTN: SHEILA BLACKWELL",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-907-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JERRY",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "104108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marceal Schipper Johnson, CNM
• Sylvia D Johnson, M.A., LPA
• Travis Johnson, PA-C
• Victor Johnson, LCSW
• Jarold Thomas Johnston Jr., CNM, IBCLC
• Christian Johnstone
• Tina Ruth Jones-Faison, DDS
• Allen Ray Jones, PA
• Amy Lynn Jones, PHARMD, AE-C
• Ashley Jones, MD

• Medical Physician Assistant in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.