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

Mr. Clyde D Johnson Jr., CSA

Individual provider Surgical Physician Assistant · NPI 1821256223

Mr. Clyde D Johnson Jr., CSA is a Surgical Physician Assistant in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2008

Practice location Address checks out

5881 Glendrige Dr NE Ste 120
Atlanta, GA 30328
Phone: (404) 303-7703
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2625-2 (GA)

Record details

NPI number1821256223
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedJune 2, 2008
Last updated in NPPESSeptember 22, 2017

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