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

Individual provider Physician Assistant · NPI 1558429886

Tamara Johnson, PA is a Physician Assistant in Royal Oak, Michigan. Qualified in 2006, 20 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
20
Licensed in
MI
In the registry since
2006
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

3577 W 13 Mile Rd Ste 202A
Royal Oak, MI 48073-6710
Phone: (248) 551-0669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3601 W. 13 Mile Rd, Royal Oak, MI 48073-6769 — (248) 423-2481

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601004932 (MI)

Record details

NPI number1558429886
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 6, 2006
Last updated in NPPESDecember 23, 2020
Certification dateDecember 23, 2020
Mailing address26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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