JOHNNA JOHNSON (PA-C) – Physician Assistant, NPI 1639173529

JOHNNA JOHNSON (PA-C) is a healthcare provider. based in Macon, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 00456 (GA). The NPI Number for JOHNNA JOHNSON (PA-C) is 1639173529

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
JOHNNA JOHNSON (PA-C)
NPI
1639173529
Phone
(478) 254-5303
Address
3708 NORTHSIDE DR
Enumeration Date
8 June 2005
Last Update Date
19 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
6002866746
Professional Enrollment ID
I20050131000123
Address ID
GA300660000MAPOXXXBOXX203
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for JOHNNA JOHNSON (PA-C)

  • Northside Drive, Riverside Park, Macon, Bibb County, Georgia, 31210, United States

    MACON, GA 312102404

    Phone: (478) 254-5303

    Fax: (478) 254-5324

    Type: Mailing

  • Graefe Street, Griffin, Spalding County, Georgia, 30224, United States

    GRIFFIN, GA 302244222

    Phone: (770) 227-1587

    Fax: (770) 227-1485

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-06-04 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($23).

Total Amount

$44

General + Research + Ownership

Payments

2

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-04

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: 2005-01-31

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
I20050131000123IPhysician AssistantGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3323$0
99214Established patient office or other outpatient visit, 30-39 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 31210)

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Reviews

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Frequently asked questions

What is the standard ID for JOHNNA JOHNSON (PA-C) in the U.S.?
In the U.S., JOHNNA JOHNSON (PA-C) is identified by NPI 1639173529.
Does the public listing show JOHNNA JOHNSON (PA-C) as active?
JOHNNA JOHNSON (PA-C)'s NPI record reflects an active status in NPPES.
How should patients interpret JOHNNA JOHNSON (PA-C)'s specialty?
The extract shows Physician Assistant for JOHNNA JOHNSON (PA-C). Clinical services aligned with this taxonomy classification.
What city is tied to JOHNNA JOHNSON (PA-C)?
The directory associates JOHNNA JOHNSON (PA-C) with Macon, Georgia. Check all listed addresses for suites or satellite offices.
Can I export JOHNNA JOHNSON (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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