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

Judah Charles Johnson, PA

Individual provider Physician Assistant · NPI 1053695957

Judah Charles Johnson, PA is a Physician Assistant in Augusta, Georgia. Graduated from Medical College of Georgia School of Medicine in 2011, 15 years ago. Practices with Georgialina Physical Therapy Associates LLC, a 429-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
15
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2011
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

811 13th St Ste 20
Augusta, GA 30901-2700
Phone: (706) 722-3401
Fax: (706) 724-6540
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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 006258 (GA)

Record details

NPI number1053695957
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 11, 2011
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Georgialina Physical Therapy Associates Llc — 429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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