NPIMap

Individual provider Active NPI

Johnny B Terry Jr., PHYSICIAN ASSISTANT

  • Physician Assistant
  • Winfield, IL
National Provider Identifier
1851629810
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085006972 Issued in IL
Practice address
25 N Winfield Rd Ste 201
Winfield, IL 60190-1379
Phone
(630) 933-4480
NPI assigned
Dec 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X GA
Surgical Physician Assistant 363AS0400X PA9106081 FL
Physician Assistant 363A00000X 085006972 IL Primary

Addresses

Primary practice location

25 N Winfield Rd Ste 201
Winfield, IL 60190-1379

Mailing address

25 N Winfield Rd Ste 201
Winfield, IL 60190-1379
Phone (630) 933-4480

Other names 1

  • Mr. Johnny B Terry Jr. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL, GA, VA4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20120210000037 FL Practitioner - Physician Assistant 8729245238 Reassigns benefits to 2 organizations
I20190409000568 IL Practitioner - Physician Assistant 8729245238 Reassigns benefits to 3 organizations
I20250313002870 GA Practitioner - Physician Assistant 8729245238 Reassigns benefits to 1 organization
I20251125004842 VA Practitioner - Physician Assistant 8729245238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Hampton Roads Specialty Care LLCGroup PAC ID 3173955671, 197 clinicians

Practice addresses (Care Compare)

150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673

3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085006972ILMDPhysician Assistant
PA9106081FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc CurrentSince Dec 23, 2024 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Dec 1, 2025 Accepting new patients
SMH Physician Services Inc Physician Assistant CurrentSince May 12, 2025 Accepting new patients
Central Dupage Physician Group CurrentSince Jan 1, 2022 Accepting new patients
MD Now Medical Centers Inc CurrentSince Jan 31, 2021 Accepting new patients
Carle West Physician Group Inc CurrentSince Dec 9, 2020 Accepting new patients
Carle Health Care Incorporated CurrentSince Mar 25, 2019 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Dec 1, 2025 Accepting new patients
Florida Hospital Medical Group Inc Physician Assistant Past Accepting new patients
Thoracic & Cardiovascular Surgeons LLC Past Accepting new patients
Cardiovascular Surgeons, P.a. PastSince Oct 16, 1995 Accepting new patients

Locations

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

25 N Winfield Rd
Ste 201
Winfield, IL 60190
Phone (630) 933-4480

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

3640 High St
Ste 1E
Portsmouth, VA 23707
Phone (757) 398-2200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jterrypa271398@carlehiedirect.net

Organizations & group practices 12

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 9

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": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1851629810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N WINFIELD RD STE 201",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901379",
            "telephone_number": "630-933-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N WINFIELD RD STE 201",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901379",
            "telephone_number": "630-933-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "JOHNNY",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-02",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9106081",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085006972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHNNY",
            "last_name": "TERRY",
            "middle_name": "B",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Winfield, IL

Sources for this page

Verify at the official NPI Registry.