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

Mr. Randy M Johnson, PA-C

Individual provider Medical Physician Assistant · NPI 1073787677

Mr. Randy M Johnson, PA-C is a Physician Assistant in Hamden, Connecticut. Qualified in 2007, 19 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
19
Licensed in
CT
In the registry since
2008
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

2200 Whitney Ave Ste 360
Hamden, CT 06518-3694
Phone: (203) 281-4463
Fax: (203) 287-2930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 002078 (CT)

Record details

NPI number1073787677
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 15, 2008
Last updated in NPPESMay 27, 2021
Certification dateMay 27, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Hamden