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

Charles David Johnson Jr.

Individual provider Physician Assistant · NPI 1568696177

Charles David Johnson Jr. is a Physician Assistant in Monroe, Louisiana. Qualified in 2003, 23 years ago. Practices with Ward 3 4 and 10 Hospital Service District of Parish of Union, a 14-clinician group. Licensed in Louisiana.

Years since qualifying
23
Licensed in
LA
In the registry since
2009
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Practice location Address checks out

309 Jackson St
Monroe, LA 71201-7407
Phone: (318) 327-4000
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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 A10581 (LA)

Record details

NPI number1568696177
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 11, 2009
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025
Mailing address309 Jackson St, Monroe, LA 71201-7407

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Ward 3 4 And 10 Hospital Service District Of Parish Of Union — 14 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Monroe