JOHNNY JOHNSON (PA) – Medical Physician Assistant, NPI 1477888196

JOHNNY JOHNSON (PA) is a healthcare provider. based in Greenville, Texas. specializing in Medical Physician Assistant. They hold the professional credentials PA. They hold a License No. PA00777 (TX). The NPI Number for JOHNNY JOHNSON (PA) is 1477888196

Main info

Male
Name
JOHNNY JOHNSON (PA)
NPI
1477888196
Phone
(903) 408-7700
Address
4211 JOE RAMSEY BLVD
Enumeration Date
14 October 2009
Last Update Date
8 June 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for JOHNNY JOHNSON (PA)

  • Joe Ramsey Boulevard, Greenville, Hunt County, Texas, 75402, United States

    SUITE 100

    GREENVILLE, TX 75401

    Phone: (903) 408-7700

    Fax: (903) 408-7802

    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 3 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2024-04-16 • Largest payer in this snapshot: HARMONY BIOSCIENCES LLC ($53).

Total Amount

$53

General + Research + Ownership

Payments

3

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
HARMONY BIOSCIENCES LLC$53
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: 2011-01-18

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
I20110118001137IPhysician AssistantTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75401)

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Reviews

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Frequently asked questions

What is the registry number for JOHNNY JOHNSON (PA)?
The registry entry for JOHNNY JOHNSON (PA) shows NPI 1477888196.
Is JOHNNY JOHNSON (PA)'s NPI status active today?
Active status means JOHNNY JOHNSON (PA)'s NPI record is not deactivated in the public file.
Which specialty label fits JOHNNY JOHNSON (PA)?
NPPES ties JOHNNY JOHNSON (PA) to Medical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to JOHNNY JOHNSON (PA)?
The directory associates JOHNNY JOHNSON (PA) with Greenville, Texas. Check all listed addresses for suites or satellite offices.
Who maintains JOHNNY JOHNSON (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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