Active NPI
Courtney A Johnson, PA-C
- Surgical Physician Assistant
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 44201 Dequindre Rd
Troy, MI 48085-1117 - Phone
- (248) 964-8432
- NPI assigned
- Jan 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
44201 Dequindre Rd
Troy, MI 48085-1117
Mailing address
1 Hurley PLZ
Flint, MI 48503-5902
Other practice location 1
1 Hurley Plz
Flint, MI 48503-5902
Phone (810) 262-9000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cjohnson3853@direct.hurleymc.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Yale University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000
47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4100
Hospital & facility affiliations
- Ascension Providence Hospital, Southfield and Novi
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southfield Radiology Associates PLLC | Current | Accepting new patients | |
| Hurley Health Services | Physician Assistant | Current | Accepting new patients |
| Jawad a Shah, MD PC | Current | Accepting new patients | |
| Pathology Associates Inc PC | Current | Accepting new patients | |
| Hurley Medical Center | Physician Assistant | Current | Accepting new patients |
| Hurley Medical Center | Physician Assistant | Current | Accepting new patients |
| Hurley Medical Center | Current | Accepting new patients | |
| Hurley Medical Center | Current | Accepting new patients | |
| Hurley Medical Center | Current | Accepting new patients |
Locations
4272 W Vienna Rd
Clio, MI 48420
Phone (810) 687-2850
1125 S Linden Rd
Ste 210
Flint, MI 48532
Phone (810) 230-3370
4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108
1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000
4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152
1225 S Latson Rd
Howell, MI 48843
Phone (248) 662-4300
26850 Providence Pkwy
Ste 140
Novi, MI 48374
Phone (248) 308-2745
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
Interoperability endpoints
- cjohnson1240007@epic00.shdirect.org
- cjohnson1133496@direct.hfhs.org
Organizations & group practices 10
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.
-
- Diagnostic Radiology Physician
- Southfield, MI
- NPI 1871525915
-
- Physician Assistant
- Flint, MI
- NPI 1881620748
-
- Specialist
- Flint, MI
- NPI 1942402391
-
- Obstetrics & Gynecology Physician
- Flint, MI
- NPI 1982630844
-
- Urgent Care Clinic/Center
- Burton, MI
- NPI 1417441551
-
- Certified Registered Nurse Anesthetist
- Flint, MI
- NPI 1558397653
-
- Plastic and Reconstructive Surgery Physician
- Flint, MI
- NPI 1689345761
-
- Anatomic Pathology & Clinical Pathology Physician
- Flint, MI
- NPI 1922116094
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1902102700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HURLEY PLZ",
"city": "FLINT",
"state": "MI",
"postal_code": "485035902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44201 DEQUINDRE RD",
"city": "TROY",
"state": "MI",
"postal_code": "480851117",
"telephone_number": "248-964-8432"
}
],
"practiceLocations": [
{
"address_1": "1 Hurley Plz",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485035902",
"country_code": "US",
"telephone_number": "810-262-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "COURTNEY",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-27",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjohnson3853@direct.hurleymc.com",
"affiliation": "N",
"address_1": "1 Hurley Plz",
"city": "Flint",
"state": "MI",
"country_code": "US",
"postal_code": "485035902",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.