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

Jeffrey Norman Johnson, PA-C

Individual provider Medical Physician Assistant · NPI 1225087687

Jeffrey Norman Johnson, PA-C is a Physician Assistant in Port Saint Lucie, Florida. Qualified in 1995, 31 years ago. Practices with Aqua Dermatology of Florida, PA, a 184-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
31
Licensed in
FL
In the registry since
2006
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 →

Practice location Address checks out

264 NW Peacock Blvd
Port Saint Lucie, FL 34986-2272
Phone: (772) 323-2523
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9101353 (FL)

Record details

NPI number1225087687
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 10, 2006
Last updated in NPPESNovember 2, 2020
Certification dateNovember 2, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Aqua Dermatology Of Florida, Pa — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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