COURTNEY JOHNSON – Surgical Physician Assistant, NPI 1164946752

COURTNEY JOHNSON is a healthcare provider. based in Bradenton, Florida. specializing in PHYSICIAN ASSISTANT. The NPI Number for COURTNEY JOHNSON is 1164946752

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY JOHNSON
NPI
1164946752
Phone
(941) 792-1404
Address
6015 POINTE WEST BLVD
Enumeration Date
26 July 2017
Last Update Date
26 May 2022

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
9417921404
Graduation Year
2017 (9 years ago)
PAC ID
5698041192
Group Practice PAC ID
3274504386
Professional Enrollment ID
I20171028000343
Address ID
FL342025046LA8340XBLVD406
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:8State licenses:0Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for COURTNEY JOHNSON

  • 6015, Pointe West Boulevard, Bradenton, Manatee County, Florida, 34209, United States

    BRADENTON, FL 342095525

    Phone: (941) 792-1404

    Fax: (941) 761-0712

    Type: Mailing

  • 8000 SR 64 E

    BRADENTON, FL 34212

    Phone: (941) 792-1404

    Fax: (941) 761-0712

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $254.

Total Amount is formed as General ($254) + Research ($0) + Ownership ($0) = $254.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Stryker Corporation ($187).

Total Amount

$254

General + Research + Ownership

Payments

8

Total payment records

General Amount

$254

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2017-10-28

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
I20171028000343IPhysician AssistantFLTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,469223$0
J7331Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg1,14035$0
J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg67211$0
20610Aspiration and/or injection of fluid from large joint460279$0
99213Established patient office or other outpatient visit, 20-29 minutes368279$0
View full utilization report →

Insurance plans in this area (ZIP 34209)

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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: 3274504386View full group profile
NameSpecialtyState
Physician AssistantOH
Physician AssistantFL
-FL
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL
-FL
Physician AssistantFL
Orthopedic SurgeryFL
Nurse PractitionerFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Is there an official ID for COURTNEY JOHNSON in U.S. healthcare records?
The official identifier for COURTNEY JOHNSON is NPI 1164946752.
Would COURTNEY JOHNSON appear as active to a payer?
You can treat COURTNEY JOHNSON as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with COURTNEY JOHNSON?
COURTNEY JOHNSON's record emphasizes Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is COURTNEY JOHNSON associated with Bradenton?
Public fields place COURTNEY JOHNSON around Bradenton, Florida. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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