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

Katy Flinn Johnson, PA-C

Individual provider Physician Assistant · NPI 1043505092

Katy Flinn Johnson, PA-C is a Physician Assistant in Shallotte, North Carolina. Qualified in 2010, 16 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
16
Licensed in
NC, SC
In the registry since
2011
Specialties on file
3
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

5145 Sellers Rd
Shallotte, NC 28470-3405
Phone: (910) 754-4441
Fax: (910) 754-5307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4120 — (843) 497-7772

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-02891 (NC)
Physician Assistant Taxonomy 363A00000X · Licence TL1657 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 1657 (SC)

Record details

NPI number1043505092
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 17, 2011
Last updated in NPPESJune 15, 2021
Certification dateJune 15, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Shallotte