Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrew David Johnson, PA-C

Individual provider Physician Assistant · NPI 1376027870

Andrew David Johnson, PA-C is a Physician Assistant in Lansing, Michigan. Qualified in 2021, 5 years ago. Practices with Advantage Health/Saint Mary's Medical Group, a 494-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1215 E Michigan Ave
Lansing, MI 48912-1896
Phone: (517) 364-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601008825 (MI)

Record details

NPI number1376027870
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2018
Last updated in NPPESSeptember 20, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Advantage Health/Saint Mary'S Medical Group — 494 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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