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

Mackenzie Blair Johnson, PA-C

Individual provider Physician Assistant · NPI 1386383032

Mackenzie Blair Johnson, PA-C is a Physician Assistant in Columbia, South Carolina. Graduated from University of South Carolina School of Medicine in 2022, 4 years ago. Practices with Midlands Orthopaedics and Neurosurgery PA, a 43-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
4
Trained at
University of South Carolina School of Medicine
Licensed in
SC
In the registry since
2022
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 →

Practice location Address checks out

3 Richland Medical Park Dr Ste 310
Columbia, SC 29203-6862
Phone: (803) 434-8323
Fax: (803) 434-8326
Show map & directions

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

Additional practice locations (1)

  • 5 Richland Medical Park Dr, Columbia, SC 29203-6863 — (803) 434-8323

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4443 (SC)
Physician Assistant Taxonomy 363A00000X (SC)

Record details

NPI number1386383032
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 1, 2022
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Midlands Orthopaedics And Neurosurgery Pa — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Columbia