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

Mikayla Wall

Individual provider Physician Assistant · NPI 1265002836

Mikayla Wall is a Physician Assistant in Salem, Virginia. Qualified in 2021, 5 years ago. Practices with Johnson Health Center, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1802 Braeburn Dr
Salem, VA 24153-7357
Phone: (540) 772-3702
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 434 Sunburst Rd, Lynchburg, VA 24501-7249 — (434) 944-2860

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110008117 (VA)

Record details

NPI number1265002836
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 28, 2021
Last updated in NPPESOctober 8, 2021
Certification dateOctober 8, 2021
Mailing address434 Sunburst Rd, Lynchburg, VA 24501-7249

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Johnson Health Center — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Salem