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

Tracy Michelle Johnson, PA

Individual provider Physician Assistant · NPI 1568820629

Tracy Michelle Johnson, PA is a Physician Assistant in Lexington, Kentucky. Works from 2 locations. Licensed in Kentucky and Tennessee.

Licensed in
KY, TN
In the registry since
2016
Specialties on file
3
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

1221 S Broadway
Lexington, KY 40504-2701
Phone: (859) 258-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 475 N Highway 25 W, Williamsburg, KY 40769-1576 — (606) 549-2930

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA2076 (KY)
Physician Assistant Taxonomy 363A00000X · Licence PA2076 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2927 (TN)

Record details

NPI number1568820629
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 4, 2016
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024

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