Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Robert William Johnson, PA-C

Individual provider Physician Assistant · NPI 1457657348

Mr. Robert William Johnson, PA-C is a Physician Assistant in Lumberton, North Carolina. Qualified in 2010, 16 years ago. Practices with Fastmed PC, a 176-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
16
Licensed in
NC
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

404 Hatfield Ct
Lumberton, NC 28358-1126
Phone: (910) 738-3358
Fax: (910) 738-9174
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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 0010-02767 (NC)

Record details

NPI number1457657348
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 10, 2011
Last updated in NPPESFebruary 10, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Fastmed Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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