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

Jennifer Ann Johnson, PA

Individual provider Medical Physician Assistant · NPI 1740376862

Jennifer Ann Johnson, PA is a Physician Assistant in Wilmington, North Carolina. Qualified in 2004, 22 years ago. Practices with Novant Health Medical Group Coastal Region LLC, a 576-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
22
Licensed in
NC
In the registry since
2006
Specialties on file
2
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

1500 Physicians Dr
Wilmington, NC 28401-7356
Phone: (910) 662-9500
Fax: (910) 662-9501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1415 Physicians Dr, Wilmington, NC 28401-7338 — (910) 662-9500
  • 1202 Medical Center Dr, Wilmington, NC 28401-7307 — (910) 341-3301

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 103040 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 103040 (NC)

Record details

NPI number1740376862
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESMarch 15, 2022
Certification dateMarch 15, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Novant Health Medical Group Coastal Region Llc — 576 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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