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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JAKE FAWCETT JOHNSON PA-C
NPI 1043130214
Physician Assistant in St George, UT

Active since July 17, 2026
2351 S RIVER RD STE 5, ST GEORGE, UT 84790(855) 871-0841 Get Directions Write a Review

NPPES record added: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jake Fawcett Johnson Pa-c NPPES

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

JAKE FAWCETT JOHNSON PA-C (NPI 1043130214) is an individual physician assistant in St George, Utah, licensed in Utah (14293039-1206) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1043130214
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJAKE FAWCETT JOHNSONCredential: PA-C
Location Address2351 S RIVER RD STE 5St George, UT 84790-8749
Mailing Address2351 S River Rd Ste 5St George, UT 84790-8749 · (855) 871-0841
Phone(855) 871-0841
Sole ProprietorNo
Enumeration DateJuly 17, 2026
NPPES CertifiedJuly 17, 2026
✔ NPI 1043130214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 14293039-1206
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.
2351 S RIVER RD STE 5, St George, UT 84790
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Other Providers at the Same Location NPPES 2

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

KYLEE MECHAM FNP
Nurse Practitioner (Family)
2351 S RIVER RD STE 5
ST GEORGE, UT 84790
Washington County (435) 709-8786
EZRA TYSON HURST FNP-C
Nurse Practitioner (Family)
2351 S RIVER RD STE 5
ST GEORGE, UT 84790
Washington County (435) 709-8786

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jake Johnson's NPI number?

The NPI number for Jake Johnson is 1043130214. It was assigned to this individual provider in the NPPES registry on July 17, 2026.

Where is Jake Johnson located?

Jake Johnson practices at 2351 S River Rd Ste 5, St George, UT 84790. The listed phone number is (855) 871-0841.

What is Jake Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jake Johnson was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.