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

Tairy Adams Johnson, PA-C

Individual provider Medical Physician Assistant · NPI 1063468890

Tairy Adams Johnson, PA-C is a Medical Physician Assistant in Woodbridge, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone: (703) 523-1504
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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 0110001991 (VA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0110001991 (VA)

Record details

NPI number1063468890
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021

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