Individual provider Active NPI

Gary Johnston Jr., DNP, APRN-C

  • Family Nurse Practitioner
  • Perry, FL
National Provider Identifier
1629467352
Registry record updated Jan 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9205099 Issued in FL
Practice address
333 N Byron Butler Pkwy
Perry, FL 32347-2300
Phone
(850) 584-0800
NPI assigned
Jan 19, 2015
Last updated
Jan 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN9205099 FL
Family Nurse Practitioner 363LF0000X ARNP9205099 FL Primary

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

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
I20150417000722 FL Practitioner - Nurse Practitioner 8426376740 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9205099FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Memorial Hospital Inc Current Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Mar 1, 2015 Accepting new patients
Doctors Memorial Hospital Inc CurrentSince May 1, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Doctors Memorial Hospital Inc CurrentSince May 1, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Mar 1, 2015 Accepting new patients
Doctors Memorial Hospital Inc Past Accepting new patients
Doctors Memorial Hospital Inc Past Accepting new patients

Locations

333 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 584-0643

333 N Byron Butler Pkwy
Fl 2
Perry, FL 32347

555 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 431-5360

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1541 Medical Dr
Tallahassee, FL 32308
Phone (850) 431-7801

1607 Saint James Ct
Ste 2
Tallahassee, FL 32308
Phone (850) 878-8714

Interoperability endpoints

  • Direct secure messaging: gary.johnston.1@5867.direct.athenahealth.com
  • Direct secure messaging: gjohnston21605@tallahasseememorial.direct-ci.com

Organizations & group practices 8

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": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736640000000",
    "number": "1629467352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8136 VIBURNUM CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323125701",
            "telephone_number": "850-728-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N BYRON BUTLER PKWY",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472300",
            "telephone_number": "850-584-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "GARY",
        "name_suffix": "Jr.",
        "credential": "DNP, APRN-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-19",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN9205099",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9205099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, FL

Sources for this page

Verify at the official NPI Registry.