LAVAROUS ANTWON JOHNSON PHYSICIAN ASSISTANT
NPI 1073273660
Physician Assistant - Medical in Tampa, FL

NPI Status: Active since December 22, 2021

Contact Information

401 W KENNEDY BLVD
TAMPA, FL
ZIP 33606
Phone: (757) 528-7563

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  • Individual
  • Male
  • Years of Experience 5
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About LAVAROUS JOHNSON

This page provides the complete NPI Profile along with additional information for Lavarous Johnson, a primary care provider established in Tampa, Florida with a medical specialization in Physician Assistant, focusing in medical and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1073273660 assigned on December 2021. The practitioner's primary taxonomy code is 363AM0700X. The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1073273660
Provider Name
LAVAROUS ANTWON JOHNSON PHYSICIAN ASSISTANT
Gender
Male
Entity Type
Individual
Location Address
401 W KENNEDY BLVD TAMPA, FL 33606
Location Phone
(757) 528-7563
Mailing Address
302 W FLETCHER AVE TAMPA, FL 33612
Medical School Name
OTHER
Graduation Year
2021
Is Sole Proprietor?
No
Enumeration Date
12-22-2021
Last Update Date
05-25-2023
Code Navigator

A primary care provider (PCP) like Lavarous Johnson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Secondary Locations

  • 6223 66th St N
    Pinellas Park, FL 33781
    (727) 528-4900

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with AdventHealth - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with AdventHealth - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with AdventHealth - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Bronze Simple Diabetes - HMO
  • Gold Classic Standard - HMO
  • Gold Classic Standard | with AdventHealth - HMO
  • Gold Elite Saver Plus | with AdventHealth - HMO
  • Gold Simple - HMO
  • Gold Simple | with AdventHealth - HMO
  • Silver Classic Standard - HMO
  • Silver Classic Standard | with AdventHealth - HMO
  • Silver Elite - HMO
  • Silver Elite | with AdventHealth - HMO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Silver Simple Chronic Care CKM - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Essential- ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Standard+ (Dental + Vision) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Standard - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Silver Standard - HMO
  • UHC Silver Standard- - HMO
  • UHC Silver Standard+ (Dental + Vision) - HMO
  • UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx) - HMO
  • UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Lavarous Johnson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Lavarous Johnson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5991002024

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220613000532

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for LAVAROUS ANTWON JOHNSON PHYSICIAN ASSISTANT

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073273660, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 2 → 4 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 4 + 7 + 6 + 6 + 1 + 2 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1073273660.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
401 W KENNEDY BLVD
TAMPA, FL 33606
Specialist/Technologist (Athletic Trainer)
401 W KENNEDY BLVD, BOX I
TAMPA, FL 33606
Specialist/Technologist (Athletic Trainer)
401 W KENNEDY BLVD, BOX I
TAMPA, FL 33606
Nurse Practitioner
401 W KENNEDY BLVD
TAMPA, FL 33606
Nurse Practitioner
401 W KENNEDY BLVD
TAMPA, FL 33606
Nurse Practitioner
401 W KENNEDY BLVD
TAMPA, FL 33606
Nurse Practitioner (Pediatrics)
401 W KENNEDY BLVD
TAMPA, FL 33606
Physical Therapist (Sports)
401 W KENNEDY BLVD, BOX 30F
TAMPA, FL 33606
Specialist/Technologist (Athletic Trainer)
401 W KENNEDY BLVD, BOX I
TAMPA, FL 33606
Psychologist (Clinical)
401 W KENNEDY BLVD
TAMPA, FL 33606
Community/Behavioral Health
401 W KENNEDY BLVD
TAMPA, FL 33606
Family Medicine
401 W KENNEDY BLVD
TAMPA, FL 33606
Nurse Practitioner (Family)
401 W KENNEDY BLVD
TAMPA, FL 33606
Student in an Organized Health Care Education/Training Program
401 W KENNEDY BLVD
TAMPA, FL 33606
Specialist/Technologist (Athletic Trainer)
401 W KENNEDY BLVD
TAMPA, FL 33606
Specialist/Technologist (Athletic Trainer)
401 W KENNEDY BLVD
TAMPA, FL 33606
Specialist/Technologist (Athletic Trainer)
401 W KENNEDY BLVD
TAMPA, FL 33606
Specialist/Technologist (Athletic Trainer)
401 W KENNEDY BLVD
TAMPA, FL 33606
Specialist/Technologist (Athletic Trainer)
401 W KENNEDY BLVD
TAMPA, FL 33606
Specialist/Technologist (Athletic Trainer)
401 W KENNEDY BLVD
TAMPA, FL 33606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073273660, enumerated as an "individual" on December 22, 2021.

The provider is located at 401 W KENNEDY BLVD TAMPA, FL 33606 and the phone number is (757) 528-7563.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Oscar Health Maintenance Organization of Florida. Please consult your insurance carrier or call the provider to verify.