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

Derrick Michael Johnson, PA-C

Individual provider Physician Assistant · NPI 1588784565

Derrick Michael Johnson, PA-C is a Physician Assistant in Montgomery, Alabama. Qualified in 1988, 38 years ago. Practices with Southern Orthopaedic Surgeons LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
38
Licensed in
AL
In the registry since
2007
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1470 Taylor Rd Ste 109
Montgomery, AL 36117-3747
Phone: (334) 613-9000
Fax: (334) 532-0056
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.162 (AL)

Record details

NPI number1588784565
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 31, 2007
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024
Mailing address1470 Taylor Rd Ste 109, Montgomery, AL 36117-3747

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Southern Orthopaedic Surgeons Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Montgomery