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

Mr. Jared Ryan Johnson, PA-C

Individual provider Physician Assistant · NPI 1235413949

Mr. Jared Ryan Johnson, PA-C is a Physician Assistant in Tallahassee, Florida. Graduated from Lincoln Memorial University Medical Department in 2011, 15 years ago. Practices with Tallahassee Orthopedic Clinic III Pl, a 550-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Trained at
Lincoln Memorial University Medical Department
Licensed in
FL
In the registry since
2011
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

3334 Capital Medical Blvd Ste 400
Tallahassee, FL 32308-8405
Phone: (850) 877-8174
Fax: (850) 877-5636
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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 PA9106174 (FL)

Record details

NPI number1235413949
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 30, 2011
Last updated in NPPESFebruary 24, 2012
Mailing address3334 Capital Medical Blvd, Suite 400, Tallahassee, FL 32308-8405

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2011 (15 years in practice)
Group practice Tallahassee Orthopedic Clinic Iii Pl — 550 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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