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

Johanna De Silva, PA

Individual provider Physician Assistant · NPI 1285081125

Johanna De Silva, PA is a Physician Assistant in Baton Rouge, Louisiana. Qualified in 2016, 10 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
10
Licensed in
LA
In the registry since
2016
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

7777 Hennessy Blvd Ste 2004
Baton Rouge, LA 70808-4370
Phone: (225) 769-5000
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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 302199 (LA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1285081125
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 20, 2016
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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