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

Individual provider Physician Assistant · NPI 1972116978

Avery Johnson, PA-C is a Physician Assistant in Norwalk, Connecticut. Qualified in 2020, 6 years ago. Practices with Nuvance Health Medical Practice CT Inc, a 741-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut and New York.

Years since qualifying
6
Licensed in
CT, NY
In the registry since
2020
Specialties on file
3
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

40 Cross St Ste 300
Norwalk, CT 06851-4661
Phone: (203) 855-3680
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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 5130 (CT)
Physician Assistant Taxonomy 363A00000X · Licence 1162774
Physician Assistant Taxonomy 363A00000X · Licence 026344 (NY)

Record details

NPI number1972116978
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 28, 2020
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing address40 Cross St, Norwalk, CT 06851-4647

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Nuvance Health Medical Practice Ct Inc — 741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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