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

Priscilla Phan Johnson, PA

Individual provider Family Medicine Physician · NPI 1578098695

Priscilla Phan Johnson, PA is a Physician Assistant in Martinez, Georgia. Qualified in 2017, 9 years ago. Practices with Piedmont Professional Services LLC, a 163-clinician group, works from 12 locations and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
9
Licensed in
FL, GA
In the registry since
2017
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1100 W Lake Commons Dr
Martinez, GA 30907-7932
Phone: (706) 250-6919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (11)

  • 6001 Industrial Blvd, Century, FL 32535-3312 — (850) 444-4700
  • 221 E Redstone Ave, Crestview, FL 32539-5373 — (850) 398-6606
  • 319 Green Acres Rd Ste 103, Fort Walton Beach, FL 32547-1170 — (850) 862-2385
  • 2583 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 — (850) 444-4700
  • 14114 Alabama St, Jay, FL 32565-1219 — (850) 444-4700
  • 5934 Berryhill Medical Park Dr # 1, Milton, FL 32570 — (850) 623-4771
  • 4304 Lancaster Dr, Niceville, FL 32578-4563 — (850) 862-2385
  • 2940 N Blue Angel Pkwy, Pensacola, FL 32506-2925 — (850) 444-4700
  • 1619 Creighton Rd, Pensacola, FL 32504-7152 — (850) 444-4700
  • 5149 N 9th Ave Ste G35, Pensacola, FL 32504-8733 — (850) 444-4700
  • 1717 N E St Ste 403, Pensacola, FL 32501-6334 — (850) 444-4700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11803 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 11803 (GA)
Physician Assistant Taxonomy 363A00000X · Licence PA9110351 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9110351 (FL)

Record details

NPI number1578098695
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 26, 2017
Last updated in NPPESDecember 1, 2023
Certification dateDecember 1, 2023
Mailing addressPo Box 11037, Pensacola, FL 32524-1037

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Piedmont Professional Services Llc — 163 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Martinez