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

Mrs. Leigh Vainio Johanson

Individual provider Medical Physician Assistant · NPI 1730413709

Mrs. Leigh Vainio Johanson is a Physician Assistant in Old Fort, North Carolina. Qualified in 2009, 17 years ago. Practices with Mission Health Community Multispecialty Providers LLC, a 598-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
17
Licensed in
NC
In the registry since
2009
Specialties on file
2

Practice location Address checks out

32 E Main St
Old Fort, NC 28762-0017
Phone: (828) 659-5714
Fax: (828) 668-0015
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-02120 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 013338 (NC)

Record details

NPI number1730413709
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 24, 2009
Last updated in NPPESJanuary 26, 2022

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 Mission Health Community Multispecialty Providers Llc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare