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

Collin Johansen

Individual provider Physician Assistant · NPI 1396389334

Collin Johansen is a Physician Assistant in Camp Lejeune, North Carolina. Qualified in 2021, 5 years ago. Practices with Vidant Medical Group LLC, a 974-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2019

Practice location Address checks out

100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone: (910) 450-4357
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1396389334
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 2, 2019
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025

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 Vidant Medical Group Llc — 974 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Camp Lejeune