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

Courtney Johnson

Individual provider Surgical Physician Assistant · NPI 1164946752

Courtney Johnson is a Physician Assistant in Bradenton, Florida. Graduated from Medical University of South Carolina College of Medicine in 2017, 9 years ago. Practices with Coastal Orthopedics and Sports Medicine of Southwest Florida PA, a 60-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
9
Trained at
Medical University of South Carolina College of Medicine
In the registry since
2017
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Practice location Address checks out

8000 Sr 64 E
Bradenton, FL 34212
Phone: (941) 792-1404
Fax: (941) 761-0712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11531 30th Cv E, Parrish, FL 34219-8982 — (941) 404-6454

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1164946752
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 26, 2017
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026
Mailing address8000 Sr 64 E, Bradenton, FL 34212

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Coastal Orthopedics And Sports Medicine Of Southwest Florida Pa — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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