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

Active since December 22, 2021PECOS EnrolledAccepts Medicare Assignment
401 W KENNEDY BLVD, TAMPA, FL 33606(757) 528-7563 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 25, 2023, Jan 27, 2022, Dec 22, 2021 (3 updates tracked since 2021).

About Lavarous Antwon Johnson Physician Assistant NPPES

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

LAVAROUS ANTWON JOHNSON PHYSICIAN ASSISTANT (NPI 1073273660) is an individual medical provider in Tampa, Florida and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pinellas Park, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1073273660
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameLAVAROUS ANTWON JOHNSONCredential: PHYSICIAN ASSISTANT
Location Address401 W KENNEDY BLVDTampa, FL 33606-1450
Mailing Address302 W Fletcher AveTampa, FL 33612-3415
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 22, 2021
Last NPPES UpdateMay 25, 20233 updates tracked since enumeration
NPPES CertifiedMay 25, 2023
NPI 1073273660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
401 W KENNEDY BLVD, Tampa, FL 33606

Secondary Practice Location 1

Location 16223 66th St NPinellas Park, FL 33781-5025 · Phone (727) 528-4900

Accepted Insurance

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

Lavarous Antwon Johnson Physician Assistant 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 ID5991002024
PECOS Enrollment IDI20220613000532
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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Adult Health)
401 W KENNEDY BLVD
TAMPA, FL 33606
Specialist/Technologist (Athletic Trainer)
401 W KENNEDY BLVD
TAMPA, FL 33606
Nurse Practitioner (Family)
401 W KENNEDY BLVD
TAMPA, FL 33606
Physician Assistant
401 W KENNEDY BLVD
TAMPA, FL 33606
Nurse Practitioner
401 W KENNEDY BLVD
TAMPA, FL 33606
Specialist/Technologist (Athletic Trainer)
401 W KENNEDY BLVD
TAMPA, FL 33606
Physical Therapist (Sports)
401 W KENNEDY BLVD, BOX 30F
TAMPA, FL 33606
Psychologist (Clinical)
401 W KENNEDY BLVD
TAMPA, FL 33606

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 Lavarous Johnson's NPI number?

The NPI number for Lavarous Johnson is 1073273660. It was assigned to this individual provider in the NPPES registry on December 22, 2021.

Where is Lavarous Johnson located?

Lavarous Johnson practices at 401 W Kennedy Blvd, Tampa, FL 33606. The listed phone number is (757) 528-7563.

What is Lavarous Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lavarous Johnson enrolled in Medicare?

Yes. Lavarous Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lavarous Johnson accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Lavarous Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lavarous Johnson was last updated on May 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.