Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea Johnson

Individual provider Family Medicine Physician · NPI 1851319685

Andrea Johnson is a Family Practice in Jamestown, New York. Graduated from State University of Ny Upstate Medical University in 1987, 39 years ago. Practices with Great Lakes Physician Practice PC, a 143-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
39
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

17 Sherman St Ste 2100
Jamestown, NY 14701-7080
Phone: (716) 665-4720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 175795 (NY)

Record details

NPI number1851319685
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESJanuary 25, 2024
Certification dateApril 20, 2021
Mailing address17 Sherman St, Suite 2100, Jamestown, NY 14701-7080

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 1987 (39 years in practice)
Group practice Great Lakes Physician Practice Pc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jamestown