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

Lindsay Marie Johnson, PA

Individual provider Medical Physician Assistant · NPI 1972988590

Lindsay Marie Johnson, PA is a Physician Assistant in Myrtle Beach, South Carolina. Qualified in 2015, 11 years ago. Practices with Coastal Dermatology Institute LLC, a 4-clinician group and accepts Medicare assignment.

Years since qualifying
11
In the registry since
2015
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

199 Village Center Blvd Ste 200
Myrtle Beach, SC 29579-3589
Phone: (843) 738-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1972988590
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 24, 2015
Last updated in NPPESJuly 12, 2021
Certification dateJuly 12, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Coastal Dermatology Institute Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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