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

Scott B Johnson, PAC

Individual provider Physician Assistant · NPI 1124006762

Scott B Johnson, PAC is a Physician Assistant in Waverly, Iowa. Qualified in 1988, 38 years ago. Practices with Iowa Physicians Clinic Medical Foundation, a 1,242-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
38
Licensed in
IA
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

312 9th St SW Ste 1200
Waverly, IA 50677-2929
Phone: (319) 352-4340
Fax: (319) 352-0745
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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 000750 (IA)

Record details

NPI number1124006762
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJanuary 4, 2006
Last updated in NPPESNovember 2, 2007
Mailing address312 9th St Sw, Suite 1200, Waverly, IA 50677-2929

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Iowa Physicians Clinic Medical Foundation — 1242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Waverly