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

Michael Andrew Johnson, PA-C

Individual provider Physician Assistant · NPI 1174517627

Michael Andrew Johnson, PA-C is a Physician Assistant in Fort Walton Beach, Florida. Licensed in Florida and Washington. Registered with an NPI since 2005.

Licensed in
FL, WA
In the registry since
2005
Specialties on file
2
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

1005 Mar Walt Dr Internal Medicine Dept
Fort Walton Beach, FL 32547-6707
Phone: (850) 863-8202
Fax: (850) 862-6148
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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 PA9104179 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA10004773 (WA)

Record details

NPI number1174517627
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 9, 2005
Last updated in NPPESMay 19, 2009
Mailing address1005 Mar Walt Drive, Internal Medicine Department, Fort Walton Beach, FL 32547-6796

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