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

Gary Lynn Johnson, PA

Individual provider Physician Assistant · NPI 1336116003

Gary Lynn Johnson, PA is a Physician Assistant in South Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2006.

Licensed in
WV
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

610 Chestnut St
South Charleston, WV 25309-1251
Phone: (304) 766-7515
Fax: (304) 766-7566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 01092 (WV)

Record details

NPI number1336116003
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 2, 2006
Last updated in NPPESDecember 17, 2007

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