ANDEE BLAIR JOHNSON (PA-C) – Physician Assistant, NPI 1407459654

ANDEE BLAIR JOHNSON (PA-C) is a healthcare provider. based in Huntsville, Alabama. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA.1702 (AL). The NPI Number for ANDEE BLAIR JOHNSON (PA-C) is 1407459654

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ANDEE BLAIR JOHNSON (PA-C)
NPI
1407459654
Phone
(256) 533-1600
Address
201 GOVERNORS DR SW FL 1
Enumeration Date
19 November 2020
Last Update Date
19 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2565331600
Graduation Year
2020 (6 years ago)
PAC ID
9234540873
Group Practice PAC ID
7214221464
Professional Enrollment ID
I20201202002942
Address ID
AL358015171HU201XXSWXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,201 PHYSICIAN ASSISTANT in AL

Provider Addresses for ANDEE BLAIR JOHNSON (PA-C)

  • 201 GOVERNORS DR SW FL 1

    HUNTSVILLE, AL 358015171

    Phone: (256) 533-1600

    Fax: (256) 539-0856

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $3,122.

Total Amount is formed as General ($3,122) + Research ($0) + Ownership ($0) = $3,122.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: SI-BONE, INC. ($1,804).

Total Amount

$3,122

General + Research + Ownership

Payments

37

Total payment records

General Amount

$3,122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201202002942IPhysician AssistantALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
72110X-ray of lower and sacral spine, minimum of 4 views5151$0
72100X-ray of lower and sacral spine, 2-3 views4239$0
99203New patient office or other outpatient visit, 30-44 minutes3737$0
99213Established patient office or other outpatient visit, 20-29 minutes2322$0
72050X-ray of upper spine, 4-5 views2020$0
View full utilization report →

Insurance plans in this area (ZIP 35801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214221464View full group profile
NameSpecialtyState
N E U R O S U R G E R YAL
Physician AssistantAL
Physician AssistantAL
Physician AssistantAL
N E U R O S U R G E R YAL
Nurse PractitionerAL
Physician AssistantAL
Physician AssistantAL
Nurse PractitionerAL
Physical Medicine And RehabilitationAL

Reviews

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Frequently asked questions

What is the 10-digit NPI for ANDEE BLAIR JOHNSON (PA-C)?
ANDEE BLAIR JOHNSON (PA-C) — NPI 1407459654 — is the standard way to identify this listing.
Can I rely on ANDEE BLAIR JOHNSON (PA-C) being an active provider?
As of the registry snapshot, ANDEE BLAIR JOHNSON (PA-C) is marked active.
What taxonomy line describes ANDEE BLAIR JOHNSON (PA-C)?
For research purposes, treat ANDEE BLAIR JOHNSON (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for ANDEE BLAIR JOHNSON (PA-C)?
ANDEE BLAIR JOHNSON (PA-C)'s geographic hint is Huntsville, Alabama in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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