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

Individual provider Physician Assistant · NPI 1821370214

Shaun Kelly Johnson, PA-C is a Physician Assistant in Fort Sam Houston, Texas. Qualified in 2011, 15 years ago. Practices with Tmc Provider Group PLLC, a 214-clinician group and accepts Medicare assignment.

Years since qualifying
15
In the registry since
2011
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

3551 Roger Brooke Dr Ofc
Fort Sam Houston, TX 78234-4504
Phone: (210) 539-9582
Fax: (210) 539-9582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1821370214
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 13, 2011
Last updated in NPPESApril 25, 2023
Certification dateApril 25, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Tmc Provider Group Pllc — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Fort Sam Houston