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

Dr. Ryan Johnson, DO

Individual provider Family Medicine Physician · NPI 1972181519

Dr. Ryan Johnson, DO is an Internal Medicine in Orange Park, Florida. Qualified in 2021, 5 years ago. Practices with Memorial Family Practice Associates, LLC, a 50-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2021 Professional Center Dr Ste 100
Orange Park, FL 32073-4461
Phone: (049) 622-9200
Fax: (904) 622-9188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2001 Kingsley Ave, Orange Park, FL 32073-5148 — (904) 639-8500

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 56876 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence UO8151 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972181519
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 1, 2021
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025
Mailing address2021 Professional Center Dr Ste 100, Orange Park, FL 32073-4461

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Memorial Family Practice Associates, Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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