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

MS. Jillian Mary Johnson, MSPAP, PA-C

Individual provider Physician Assistant · NPI 1740922608

MS. Jillian Mary Johnson, MSPAP, PA-C is a Physician Assistant in Panama City, Florida. Qualified in 2022, 4 years ago. Practices with Dermatology Associates of Tallahassee PA, a 39-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
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

425 W 19th St Ste D&e
Panama City, FL 32405-4659
Phone: (850) 818-0220
Fax: (850) 818-0156
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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 9115810 (FL)

Record details

NPI number1740922608
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPAP , PA-C
Sole proprietorNo
NPI enumeratedApril 11, 2022
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Dermatology Associates Of Tallahassee Pa — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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