Individual provider Active NPI

Dayne Johnson, PA-C

  • Physician Assistant
  • Cedar City, UT
National Provider Identifier
1669505178
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
363056-1206 Issued in UT
Practice address
2311 North Main Street, Ste. 101
Cedar City, UT 84721-9746
Phone
(435) 586-2229
Fax
(435) 586-2022
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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 363056-1206 UT Primary

Addresses

Primary practice location

2311 North Main Street, Ste. 101
Cedar City, UT 84721-9746

Mailing address

PO Box 912042
Saint George, UT 84791-2042
Phone (435) 215-0228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20071004000105 UT Practitioner - Physician Assistant 5395830467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Oregon Health Sciences University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Spine and Pain Care Specialists LLCGroup PAC ID 6406020049, 42 clinicians

Practice addresses (Care Compare)

25 N 2000
Suite 8
Hurricane, UT 84737-4115
Phone (435) 635-0174

2891 E Mall Dr
Suite 102
St George, UT 84790-2399
Phone (435) 703-2930

Hospital & facility affiliations

  • Intermountain Health Cedar City Hospital Hospital, Cedar City, UT, CCN 460007
  • Intermountain Health Garfield Memorial Hospital Hospital, Panguitch, UT, CCN 461333
  • St. George Regional Hospital Hospital, St George, UT, CCN 460021
  • Beaver Valley Hospital Hospital, Beaver, UT, CCN 461335

Merit-based Incentive Payment System (MIPS)

Final score
78.97 of 100Reported as group
Quality
68.31
Promoting interoperability
86
Improvement activities
40
Cost
73.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
363056-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Spine and Pain Care Specialists, LLC CurrentSince Sep 30, 2011 Accepting new patients
Southwest Spine and Pain Care Specialists, LLC CurrentSince Sep 30, 2011 Accepting new patients

Locations

2311 N Main St
Ste 101
Cedar City, UT 84721
Phone (435) 586-2229

2311 N Main St
#101
Cedar City, UT 84721

1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229

25 N 2000 W
Ste 8
Hurricane, UT 84737
Phone (435) 635-0174

652 S Medical Center Dr
Ste 110
St George, UT 84790
Phone (435) 215-0230

Interoperability endpoints

  • Direct secure messaging: dayne.johnson@ssapcsl-ut.direct.office.nextgen.com

Organizations & group practices 2

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 4

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1669505178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912042",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847912042",
            "telephone_number": "435-215-0228",
            "fax_number": "435-656-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 NORTH MAIN STREET, STE. 101",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847219746",
            "telephone_number": "435-586-2229",
            "fax_number": "435-586-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAYNE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "363056-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

Verify at the official NPI Registry.