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MICHAEL ANDREW JOHNSON PA-C
NPI 1174517627
Physician Assistant in Fort Walton Beach, FL

Active since September 09, 2005
1005 MAR WALT DR, INTERNAL MEDICINE DEPARTMENT, FORT WALTON BEACH, FL 32547(850) 863-8202(850) 862-6148 Get Directions Write a Review

NPPES record last updated: May 19, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Andrew Johnson Pa-c NPPES

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

MICHAEL ANDREW JOHNSON PA-C (NPI 1174517627) is an individual physician assistant in Fort Walton Beach, Florida, licensed in Florida (PA9104179) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1174517627
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL ANDREW JOHNSONCredential: PA-C
Location Address1005 MAR WALT DR, INTERNAL MEDICINE DEPARTMENTFort Walton Beach, FL 32547-6707
Mailing Address1005 Mar Walt Drive, Internal Medicine DepartmentFort Walton Beach, FL 32547-6796 · (850) 863-8202 · Fax (850) 862-6148
Phone(850) 863-8202
Fax(850) 862-6148
Sole ProprietorNo
Enumeration DateSeptember 9, 2005
Last NPPES UpdateMay 19, 2009
✔ NPI 1174517627 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 FL · PA9104179✔ Licensed in WA · PA10004773
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.
1005 MAR WALT DR, Fort Walton Beach, FL 32547
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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.

PETER H SHIH M.D.
Internal Medicine (Critical Care Medicine)
1005 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 243-0118
DR. TERRY L PAYNE M.D.
Family Medicine
1005 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-6600
LESLIE MARIE ANDERSON LDN RD
Dietitian, Registered
1005 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-6600
DR. KARL WALTER METZ M.D.
Obstetrics & Gynecology (Gynecology)
1005 MAR WALT DR, LABORATORY
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8109
WHITE-WILSON MEDICAL CENTER, P.A.
Family Medicine
1005 MAR WALT DR, FP DEPARTMENT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-6600
BRIANNE FREEL
Nurse Practitioner (Family)
1005 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-6600
MR. FABIAN RODRIGUEZ NP
Nurse Practitioner (Family)
1005 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8100
DR. THOMAS MANNING HOLT M.D.
Internal Medicine
1005 MAR WALT DR, INTERNAL MEDICINE DEPARTMENT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8267

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 Michael Johnson's NPI number?

The NPI number for Michael Johnson is 1174517627. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Michael Johnson located?

Michael Johnson practices at 1005 Mar Walt Dr Internal Medicine Department, Fort Walton Beach, FL 32547. The listed phone number is (850) 863-8202.

What is Michael 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 Michael Johnson was last updated on May 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.