Garrick J Johnson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0195P Issued in NH

Practice address

250 Pleasant St
Concord, NH 03301-7559

Phone

(603) 622-6484

Fax

(603) 622-7438

NPI assigned

Jul 13, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: johnson.garrick.dfci@direct.partners.masshiway.net

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.

• Elliot Professional Services

  • Internal Medicine Physician
  • Manchester, NH
  • NPI 1285627935
  Medicare reassignment
• New Hampshire Oncology-Hematology PA

  • Hematology & Oncology Physician
  • Concord, NH
  • NPI 1467485870
  Medicare reassignment
• Dana-Farber Cancer Institute, Inc.

  • Special Hospital
  • Boston, MA
  • NPI 1346433257
  NPD
• Exeter Health Resources Inc

  • Multi-Specialty Clinic/Center
  • Exeter, NH
  • NPI 1538375704
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1891711156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TECHNOLOGY DRIVE",
            "address_2": "NEW HAMPSHIRE ONCOLOGY HEMATOLOGY PA",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "03106",
            "telephone_number": "603-622-6484",
            "fax_number": "603-622-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017559",
            "telephone_number": "603-622-6484",
            "fax_number": "603-622-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GARRICK",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0195P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30330699",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittney Johnson-Corriveau
• Debra Ann Johnson-Cricco, COTA
• Courtney Johnson
• David Scott Johnson, MD
• Douglas W Johnson, DMD
• Heather E Johnson, P.T.
• Jessica R Johnson, APRN
• Jodi Beth Johnson
• Joyce Johnson, LCMHC
• Karen Johnson, MSW

• Physician Assistant in Concord, NH
• Providers in Concord, NH by specialty
• Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.