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

Paul M Johnson, MD

Individual provider Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · NPI 1780767616

Paul M Johnson, MD is a Sports Medicine in Daytona Beach, Florida. Graduated from University of North Dakota School of Medicine in 1996, 30 years ago. Practices with Halifax Healthcare Systems Inc, a 339-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
30
Trained at
University of North Dakota School of Medicine
Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

311 N Clyde Morris Blvd
Daytona Beach, FL 32114-2781
Phone: (386) 425-4267
Fax: (386) 425-4879
Show map & directions

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

Specialties & licences

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083P0011X · Licence ME160203 (FL)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence ME160203 (FL)

Record details

NPI number1780767616
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 23, 2006
Last updated in NPPESDecember 20, 2024
Certification dateDecember 20, 2024
Mailing address1401 25th St S, Great Falls, MT 59405-6010

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Also practisesUNDERSEA AND HYPERBARIC MEDICINE
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Halifax Healthcare Systems Inc — 339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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