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

Gunnar Johnson

Individual provider Physician Assistant · NPI 1770251993

Gunnar Johnson is a Physician Assistant in Atlanta, Georgia. Qualified in 2022, 4 years ago. Practices with Carbon Health Medical Group of California PC, a 332-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

1454 Lachona Ct NE
Atlanta, GA 30329-3411
Phone: (650) 678-9107
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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 PA62215 (CA)

Record details

NPI number1770251993
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 1, 2021
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025
Mailing address1454 Lachona Ct Ne, Atlanta, GA 30329-3411

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Carbon Health Medical Group Of California Pc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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