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

Individual provider Physician Assistant · NPI 1891412607

Rachel Stanford Johnson, PA-C is a Physician Assistant in Nags Head, North Carolina. Qualified in 2022, 4 years ago. Practices with Outer Banks Professional Services, LLC, a 162-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
Specialties on file
2
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

4917 S Croatan Hwy Ste 1A
Nags Head, NC 27959-8996
Phone: (252) 449-6160
Fax: (252) 449-6161
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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 0010-12454 (NC)
Physician Assistant Taxonomy 363A00000X (NC)

Record details

NPI number1891412607
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 24, 2022
Last updated in NPPESMarch 9, 2023
Certification dateMarch 9, 2023

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 Outer Banks Professional Services, Llc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Nags Head