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

Mr. Jerry Allen Johnson, PA-C

Individual provider Medical Physician Assistant · NPI 1780779140

Mr. Jerry Allen Johnson, PA-C is a Medical Physician Assistant in Round Rock, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
Specialties on file
2
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

1201 Sam Bass Rd
Round Rock, TX 78681-4137
Phone: (512) 388-1861
Fax: (512) 388-0373
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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 PA00163 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA00163 (TX)

Record details

NPI number1780779140
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESSeptember 4, 2008

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