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

Individual provider Physician Assistant · NPI 1114162419

Jairus L Johnson, PA is a Physician Assistant in Annapolis, Maryland. Qualified in 2008, 18 years ago. Practices with Luminis Health Medical Group, LLC, a 549-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
18
Licensed in
MD
In the registry since
2008
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

2001 Medical Pkwy
Annapolis, MD 21401-3280
Phone: (410) 481-1000
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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 C0003906 (MD)

Record details

NPI number1114162419
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 16, 2008
Last updated in NPPESDecember 16, 2008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Luminis Health Medical Group, Llc — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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