PRISCILLA PHAN JOHNSON PA
NPI 1578098695
Physician Assistant in Martinez, GA

Active since April 26, 2017PECOS EnrolledAccepts Medicare Assignment
1100 W LAKE COMMONS DR, MARTINEZ, GA 30907(706) 250-6919 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2022, Dec 29, 2021, Feb 8, 2021 and 4 more (7 updates tracked since 2017).

About Priscilla Phan Johnson Pa NPPES

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

PRISCILLA PHAN JOHNSON PA (NPI 1578098695) is an individual physician assistant in Martinez, Georgia, licensed in Georgia (11803) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and maintains 11 additional practice locations.

NPPES Registry Identity

NPI1578098695
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePRISCILLA PHAN JOHNSONCredential: PA
Location Address1100 W LAKE COMMONS DRMartinez, GA 30907-7932
Mailing AddressPo Box 11037Pensacola, FL 32524-1037 · (850) 444-7000 · Fax (850) 444-7497
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 26, 2017
Last NPPES UpdateDecember 1, 20237 updates tracked since enumeration
NPPES CertifiedDecember 1, 2023
NPI 1578098695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in GA · 11803 Licensed in FL · PA9110351
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 11803 (GA)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA9110351 (FL)
1100 W LAKE COMMONS DR, Martinez, GA 30907

Secondary Practice Locations 11

Location 11619 Creighton Rd, Suite 1Pensacola, FL 32504-7152 · Phone (850) 444-4700 · Fax (850) 434-8144
Location 22940 N Blue Angel PkwyPensacola, FL 32506-2925 · Phone (850) 444-4700 · Fax (850) 434-8144
Location 31717 N E St Ste 403Pensacola, FL 32501-6334 · Phone (850) 444-4700 · Fax (850) 434-8144
Location 42583 Gulf Breeze PkwyGulf Breeze, FL 32563 · Phone (850) 444-4700
Location 55149 N 9th Ave Ste G35Pensacola, FL 32504-8733 · Phone (850) 444-4700 · Fax (850) 434-8144
Location 64304 Lancaster DrNiceville, FL 32578-4563 · Phone (850) 862-2385 · Fax (850) 862-0482
Location 76001 Industrial BlvdCentury, FL 32535-3312 · Phone (850) 444-4700 · Fax (850) 434-8144
Location 814114 Alabama StJay, FL 32565-1219 · Phone (850) 444-4700 · Fax (850) 434-8144
Location 95934 Berryhill Medical Park Dr # 1Milton, FL 32570 · Phone (850) 623-4771 · Fax (850) 623-3938
Location 10221 E Redstone AveCrestview, FL 32539-5373 · Phone (850) 398-6606 · Fax (850) 398-6424
Location 11319 Green Acres Rd Ste 103Fort Walton Beach, FL 32547-1170 · Phone (850) 862-2385 · Fax (850) 862-0482

Other Identifiers 2

Medicaid020947500FL
OtherPA9110351FL · Florida State Doh Medical Licensure

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

Priscilla Phan Johnson Pa 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 ID2264701614
PECOS Enrollment IDI20230901002450, I20241119000329
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
195 services188 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
172 services22 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
90 services45 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
55 services55 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
51 services42 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
47 services47 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30907 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
1100 W LAKE COMMONS DR
MARTINEZ, GA 30907
Nurse Practitioner (Family)
1100 W LAKE COMMONS DR
MARTINEZ, GA 30907
Nurse Practitioner (Family)
1100 W LAKE COMMONS DR
MARTINEZ, GA 30907

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 Priscilla Johnson's NPI number?

The NPI number for Priscilla Johnson is 1578098695. It was assigned to this individual provider in the NPPES registry on April 26, 2017.

Where is Priscilla Johnson located?

Priscilla Johnson practices at 1100 W Lake Commons Dr, Martinez, GA 30907. The listed phone number is (706) 250-6919.

What is Priscilla Johnson's specialty?

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

Is Priscilla Johnson enrolled in Medicare?

Yes. Priscilla 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.

Is Priscilla Johnson affiliated with any hospitals?

According to CMS data, Priscilla Johnson is affiliated with Piedmont Augusta Hospital.

When was this NPI record last updated?

The NPPES record for Priscilla Johnson was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.