CHARLES DAVID JOHNSON JR.
NPI 1568696177
Physician Assistant in Monroe, LA

Q: What is Charles Johnson's NPI number?

The NPI number for Charles Johnson is 1568696177. It was assigned to this individual provider in the NPPES registry on May 11, 2009.

Q: What is Charles Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Johnson was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since May 11, 2009PECOS Enrolled

309 JACKSON ST, MONROE, LA 71201(318) 327-4000 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Charles David Johnson Jr. NPPES

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

CHARLES DAVID JOHNSON JR. (NPI 1568696177) is an individual physician assistant in Monroe, Louisiana, licensed in Louisiana (A10581) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Forrest General Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1568696177

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameCHARLES DAVID JOHNSON JR.

Location Address309 JACKSON STMonroe, LA 71201-7407

Mailing Address309 Jackson StMonroe, LA 71201-7407 · (318) 327-4000

Phone(318) 327-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateMay 11, 2009

Last NPPES UpdateMay 8, 2025

NPPES CertifiedMay 8, 2025

✔ NPI 1568696177 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 LA · A10581

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.

309 JACKSON ST, Monroe, LA 71201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles David Johnson Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224928148

PECOS Enrollment IDI20040316000881

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Forrest General Hospital

Acute Care Hospitals · Hattiesburg, MS

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250078

Location6051 Us Highway 49 SouthHattiesburg, MS 39404 · Forrest County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71201 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$67.06 typical visit price

range $16.64 – $133.62

Typical copayment $16.76 (range $4.16 – $33.40)

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 20

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

AMANDA RACHELLE SCHORR DO

Internal Medicine