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

Michael Ryan Johnson, PA-C

Individual provider Physician Assistant · NPI 1063998235

Michael Ryan Johnson, PA-C is a Physician Assistant in Tallahassee, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
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

2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone: (407) 580-5138
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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 PA9111371 (FL)

Record details

NPI number1063998235
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 11, 2018
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023
Mailing address2626 Capital Medical Blvd, Tallahassee, FL 32308-4402

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