MICHAEL OLTON JOHNSON PA
NPI 1003313727
Physician Assistant in Lawrenceville, GA

Active since April 09, 2018PECOS EnrolledAccepts Medicare Assignment
377 W PIKE ST # A3-2, LAWRENCEVILLE, GA 30046(470) 461-7031(770) 502-6820 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 9, 2023, Sep 4, 2018, Apr 9, 2018 (3 updates tracked since 2018).

About Michael Olton Johnson Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL OLTON JOHNSON PA (NPI 1003313727) is an individual physician assistant in Lawrenceville, Georgia, licensed in Georgia (11074) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1003313727
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL OLTON JOHNSONCredential: PA
Location Address377 W PIKE ST # A3-2Lawrenceville, GA 30046-4881
Mailing Address377 W Pike St # A3-2Lawrenceville, GA 30046-4881 · (470) 461-7031 · Fax (770) 502-6820
Fax(770) 502-6820
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 9, 2018
Last NPPES UpdateMay 9, 20233 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
NPI 1003313727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in GA · 11074 Licensed in NY · 021943
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

377 W PIKE ST # A3-2, Lawrenceville, GA 30046

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael Olton Johnson Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325391253
PECOS Enrollment IDI20181023002855
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
377 W PIKE ST # A3-2
LAWRENCEVILLE, GA 30046

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003313727, enumerated as an "individual" on April 09, 2018.

The provider is located at 377 W PIKE ST # A3-2 LAWRENCEVILLE, GA 30046 and the phone number is (470) 461-7031.

Physician Assistant with taxonomy code 363A00000X.