Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Marie-Smith Johnson, PA-C

Individual provider Physician Assistant · NPI 1679561096

Jennifer Marie-Smith Johnson, PA-C is a Physician Assistant in Saginaw, Michigan. Qualified in 1999, 27 years ago. Practices with Great Lakes Bay Health Centers, a 85-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
27
Licensed in
MI
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

804 S Hamilton St
Saginaw, MI 48602-1516
Phone: (989) 921-5372
Fax: (989) 921-5373
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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 5601003542 (MI)

Record details

NPI number1679561096
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 10, 2005
Last updated in NPPESApril 8, 2021
Certification dateApril 8, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Great Lakes Bay Health Centers — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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