MR. MICHAEL MARTIN JOHNSON PA-C NPI 1336538974

NPI Information

  • NPI: 1336538974
  • Provider Name: MR. MICHAEL MARTIN JOHNSON, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 11D2161391
  • Address: 2020 HONEY CREEK PKWY SE
    CONYERS, GA
    ZIP 30013
  • Phone: (770) 929-0813

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NPI Details

MR. Michael Martin Johnson, PA-C is a medical physician assistant in Conyers, GA. MR. Michael Martin Johnson, PA-C NPI is 1336538974. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2020 HONEY CREEK PKWY SE
CONYERS, GA
ZIP 30013-974
Phone: (770) 929-0813

The NPI 1336538974 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 11D2161391 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/20/2015 and was last updated on 8/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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