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

Craig Johnson, PA-C

Individual provider Medical Physician Assistant · NPI 1306021753

Craig Johnson, PA-C is a Physician Assistant in Berlin, Maryland. Qualified in 2003, 23 years ago. Practices with Tidalhealth Atlantic Inc, a 96-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
23
Licensed in
MD
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

10614 Racetrack Rd
Berlin, MD 21811
Phone: (410) 208-9761
Fax: (410) 208-9764
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C0001907 (MD)

Record details

NPI number1306021753
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 4, 2008
Last updated in NPPESAugust 15, 2024
Mailing address10026 Old Ocean City Blvd, Building One, Berlin, MD 21811

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 Tidalhealth Atlantic Inc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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