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

Jonathan Edward Johnson

Individual provider Physician Assistant · NPI 1528520392

Jonathan Edward Johnson is a Physician Assistant in Tallahassee, Florida. Qualified in 2019, 7 years ago. Practices with Tallahassee Memorial Healthcare Inc, a 497-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
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Practice location Address checks out

1633 Physicians Dr
Tallahassee, FL 32308-4620
Phone: (850) 431-3276
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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 PAT9112112 (FL)

Record details

NPI number1528520392
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 2, 2019
Last updated in NPPESAugust 19, 2022
Certification dateAugust 17, 2022
Mailing address1633 Physicians Dr, Tallahassee, FL 32308-4620

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Tallahassee Memorial Healthcare Inc — 497 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tallahassee