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

Mikayla Larae Johnson, PA

Individual provider Medical Physician Assistant · NPI 1407520745

Mikayla Larae Johnson, PA is a Physician Assistant in Birmingham, Alabama. Graduated from University of South Alabama College of Medicine in 2022, 4 years ago. Practices with Fast Pace Medical Clinic PLLC, a 738-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
4
Trained at
University of South Alabama College of Medicine
Licensed in
AL
In the registry since
2021
Specialties on file
2
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

619 19th St S
Birmingham, AL 35233-1900
Phone: (205) 934-4011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1601 Center St, Mobile, AL 36604-1541 — (251) 410-5437
  • 2451 University Hospital Drive, Mobile, AL 36617-2300 — (251) 470-5890
  • 513 Mulberry Ave, Thomasville, AL 36784-2256 — (334) 636-4655

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.2052 (AL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA.2052 (AL)

Record details

NPI number1407520745
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 2, 2021
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Fast Pace Medical Clinic Pllc — 738 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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