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

Keaton Allyn Johnson, PA-C

Individual provider Physician Assistant · NPI 1508350539

Keaton Allyn Johnson, PA-C is a Physician Assistant in Tacoma, Washington. Qualified in 2018, 8 years ago. Practices with Carbon Health Medical Group of Florida PA, a 60-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9040 Jackson Ave
Tacoma, WA 98431-5318
Phone: (253) 968-1110
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 650 Joel Dr, Fort Campbell, KY 42223-5318 — (270) 798-8400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61055470 (WA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1508350539
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 22, 2018
Last updated in NPPESJanuary 6, 2021
Certification dateJanuary 6, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Carbon Health Medical Group Of Florida Pa — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tacoma