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

Michael D Johnson, PA

Individual provider Physician Assistant · NPI 1699787721

Michael D Johnson, PA is a Physician Assistant in Johnson City, Tennessee. Qualified in 2000, 26 years ago. Accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
26
Licensed in
TN
In the registry since
2006
Specialties on file
3
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

410 N State Of Franklin Rd Ste 120
Johnson City, TN 37604-6971
Phone: (423) 975-2350
Fax: (423) 975-2372
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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 940 (TN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 940 (TN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 940 (TN)

Record details

NPI number1699787721
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 13, 2006
Last updated in NPPESFebruary 10, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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