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

Individual provider Medical Physician Assistant · NPI 1578748505

Johnson N Mwangi, PA-C is a Physician Assistant in Tyler, Texas. Qualified in 2013, 13 years ago. Practices with Epiphany Dermatology PA, a 107-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
13
Licensed in
TX
In the registry since
2008
Specialties on file
2
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

1720 S Beckham Ave Ste 102
Tyler, TX 75701-4437
Phone: (903) 618-2125
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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 PA011035 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA011035 (TX)

Record details

NPI number1578748505
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 9, 2008
Last updated in NPPESFebruary 3, 2023
Certification dateFebruary 3, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Epiphany Dermatology Pa — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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