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

Mr. Johnny B Terry Jr., PHYSICIANASSISTANT

Individual provider Surgical Physician Assistant · NPI 1851629810

Mr. Johnny B Terry Jr., PHYSICIANASSISTANT is a Physician Assistant in Winfield, Illinois. Qualified in 2009, 17 years ago. Practices with Bon Secours Medical Group Hampton Roads Specialty Care LLC, a 194-clinician group and accepts Medicare assignment. Licensed in Florida, Georgia and Illinois.

Years since qualifying
17
Licensed in
FL, GA, IL
In the registry since
2009
Specialties on file
3

Practice location Address checks out

25 N Winfield Rd Ste 201
Winfield, IL 60190-1379
Phone: (630) 933-4480
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085006972 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X (GA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9106081 (FL)

Record details

NPI number1851629810
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedDecember 2, 2009
Last updated in NPPESApril 4, 2025
Certification dateApril 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Bon Secours Medical Group Hampton Roads Specialty Care Llc — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Winfield