Individual provider Active NPI

Morgan Johnson, PA-C

  • Physician Assistant
  • Tallahassee, FL
National Provider Identifier
1619759784
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2040 Fleischmann Rd
Tallahassee, FL 32308-4599
Phone
(850) 422-3376
Fax
(850) 205-7182
NPI assigned
Oct 16, 2023
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

2040 Fleischmann Rd
Tallahassee, FL 32308-4599

Mailing address

13473 Stone Pond Dr
Jacksonville, FL 32224-1627
Phone (904) 403-2155

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231122000658 FL Practitioner - Physician Assistant 3274981790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Nova Southeastern College of Osteo Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Dermatology PAGroup PAC ID 2961452107, 5 clinicians

Practice addresses (Care Compare)

2804 Saint Johns Bluff S Rd
Suite 109
Jacksonville, FL 32246-3777
Phone (904) 727-9123

Merit-based Incentive Payment System (MIPS)

Final score
95.85 of 100Reported as group
Quality
91.7
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Multispecialty Physicians LLC CurrentSince Oct 22, 2023 Accepting new patients
Southeastern Dermatology, PA PastSince Sep 12, 2016 Accepting new patients

Locations

2804 Saint Johns Bluff Rd S
Ste 109
Jacksonville, FL 32246
Phone (904) 454-8369

183 Landrum Ln
Ste 201
Ponte Vedra Beach, FL 32082
Phone (904) 241-0633

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCHICA
  • Direct secure messaging: mjohnson@coastaldermjax.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1619759784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13473 STONE POND DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241627",
            "telephone_number": "904-403-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 FLEISCHMANN RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084599",
            "telephone_number": "850-422-3376",
            "fax_number": "850-205-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MORGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.