Hayward Johnson Sr., PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA01606 Issued in TX

Practice address

1720 Commerce St Ste B
Garland, TX 75040-6710

Phone

(972) 205-3727

Fax

(972) 205-3444

NPI assigned

Jul 24, 2006

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Small Hospital Innovations LLC

  • Emergency Medicine Physician
  • Clewiston, FL
  • NPI 1184040560

  TX

  Medicare reassignment
• Citycare Clinic

  • Family Medicine Physician
  • Garland, TX
  • NPI 1740388131
  NPD
• Emcare-Dtxemergency Physicians PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1285709600

  Physician Assistant

  NPD (past)
• Mesquite Independent School District

  • Primary Care Clinic/Center
  • Mesquite, TX
  • NPI 1922159706
  NPD (past)
• Mesquite Physicians Group, PLLC

  • Emergency Medicine Physician
  • Mesquite, TX
  • NPI 1821397027
  NPD (past)
• Motley Emergency Physicians

  • Emergency Medicine Physician
  • Mesquite, TX
  • NPI 1972558401
  NPD (past)
• PRMC ER Group Inc

  • Anesthesiology Physician
  • Paris, TX
  • NPI 1366764052
  NPD (past)
• Texas Em-1 Medical Services PA

  • Emergency Medicine Physician
  • Mesquite, TX
  • NPI 1659446193

  Physician Assistant

  NPD (past)
• Texas Em-1 Medical Services, PA

  • Physician Assistant
  • Mesquite, TX
  • NPI 1295780757
  NPD (past)
• Texas Em-1 Medical Services, PA

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1942253083
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1851313340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 TIMBER RIDGE LN",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751814040",
            "telephone_number": "214-213-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 COMMERCE ST STE B",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750406710",
            "telephone_number": "972-205-3727",
            "fax_number": "972-205-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HAYWARD",
        "name_suffix": "Sr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Johnson, LPC ASSOCIATE, LCDC
• Chloe Johnson
• Elaine Faye Johnson, L.P.C.
• Elsie Johnson
• Glen Ric Johnson, D.C.
• Jerry Johnson
• Jonathan M Johnson, SOCIAL WORKER
• Margaret F. Johnson, OTR
• Marketa Johnson, LCSW
• Natonya Nakeshia Johnson, LVN

• Physician Assistant in Garland, TX
• Providers in Garland, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.