Gary Johnston Jr., DNP, APRN-C
Individual provider Active NPI Family Nurse Practitioner · Perry, FL
NPI 1629467352 · NPPES record last updated Jan 12, 2025
Key facts
- NPI
- 1629467352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ARNP9205099 (FL)
- Practice address
- 333 N Byron Butler Pkwy
Perry, FL 32347-2300 - Phone
- (850) 584-0800
- NPI assigned
- Jan 19, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150417000722 | FL | Practitioner - Nurse Practitioner | 8426376740 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9205099 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Memorial Hospital Inc | Current |
Accepting new patients | |
| Doctors Memorial Hospital Inc | Current |
Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Doctors Memorial Hospital Inc | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Current |
Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Current |
Accepting new patients | |
| Doctors Memorial Hospital Inc | Past | Accepting new patients |
Locations
555 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 431-5360
333 N Byron Butler Pkwy
Fl 2
Perry, FL 32347
333 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 584-0643
1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155
1607 Saint James Ct
Ste 2
Tallahassee, FL 32308
Phone (850) 878-8714
1541 Medical Dr
Tallahassee, FL 32308
Phone (850) 431-7801
Interoperability endpoints
- gjohnston21605@tallahasseememorial.direct-ci.com
- gary.johnston.1@5867.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN9205099 | FL | |
| Family Nurse Practitioner | 363LF0000X | ARNP9205099 | FL | Yes |
Addresses
Primary practice location
333 N Byron Butler Pkwy
Perry, FL 32347-2300
Mailing address
8136 Viburnum CT
Tallahassee, FL 32312-5701
Phone (850) 728-1179
Other providers in Perry, FL
- Jignesh LLC
- Joel K Shugar MD Inc
- Joel K Shugar MD PA
- Joel K Shugar MD PA
- Tasonyia Shamore Johnson
- Hayley Ciara Jolley
- James Joyner
- Patricia Ngozi Kalu
- Tiffany Dee Kelley
- Kimberly Kenney
All providers in Perry, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.