MIKAYLA LARAE JOHNSON (PA) – Physician Assistant, NPI 1407520745
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,202 PHYSICIAN ASSISTANT in AL
Provider Addresses for MIKAYLA LARAE JOHNSON (PA)
PO BOX 55310
BIRMINGHAM, AL 352555310
Phone:
Type: Mailing
619 19TH ST S
BIRMINGHAM, AL 352331900
Phone: (205) 934-4011
Type: Location
2451 University Hospital Drive
Mastin 102
Mobile, AL 366172300
Phone: (251) 470-5890
Fax: (251) 471-7925
Type: Location
513 Mulberry Ave
Thomasville, AL 367842256
Phone: (334) 636-4655
Type: Location
1601 Center St
Mobile, AL 366041541
Phone: (251) 410-5437
Fax: (251) 434-3852
Type: Location
513 MULBERRY AVE
THOMASVILLE, AL 367842256
Phone: (334) 636-4655
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $220.
Total Amount is formed as General ($220) + Research ($0) + Ownership ($0) = $220.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: PFIZER INC. ($108).
Total Amount
$220
General + Research + Ownership
Payments
10
Total payment records
General Amount
$220
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $108 |
| Novo Nordisk Inc | $94 |
| Regeneron Healthcare Solutions, Inc. | $18 |
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: 2023-03-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230316001680 | I | Physician Assistant | AL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35255)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| - | PA | |
| - | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN |
Reviews
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