TIY JOHNSON PA-C
NPI 1598146177
Physician Assistant in Lillington, NC

Active since June 09, 2015PECOS Enrolled
40 AUTUMN FERN TRL, LILLINGTON, NC 27546(910) 364-0971 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Tiy Johnson Pa-c NPPES

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

TIY JOHNSON PA-C (NPI 1598146177) is an individual physician assistant in Lillington, North Carolina, licensed in North Carolina (0010-14083) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598146177
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTIY JOHNSONCredential: PA-C
Location Address40 AUTUMN FERN TRLLillington, NC 27546-5155
Mailing Address5600 Ne Holiday DrLees Summit, MO 64064-2495 · (816) 614-0549
Sole ProprietorNo
Enumeration DateJune 9, 2015
Last NPPES UpdateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1598146177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-14083
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 ListedPhysical Therapy AssistantTaxonomy 225200000X · License 5119 (NC)
40 AUTUMN FERN TRL, Lillington, NC 27546

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 (PECOS)

Tiy Johnson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27546 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 16

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

Physician Assistant
40 AUTUMN FERN TRL
LILLINGTON, NC 27546
Nurse Practitioner (Family)
40 AUTUMN FERN TRL
LILLINGTON, NC 27546
Physician Assistant
40 AUTUMN FERN TRL
LILLINGTON, NC 27546
Pharmacist
40 AUTUMN FERN TRL
LILLINGTON, NC 27546
Physician Assistant
40 AUTUMN FERN TRL
LILLINGTON, NC 27546
Nurse Practitioner (Family)
40 AUTUMN FERN TRL
LILLINGTON, NC 27546
Nurse Practitioner (Family)
40 AUTUMN FERN TRL
LILLINGTON, NC 27546
Nurse Practitioner (Primary Care)
40 AUTUMN FERN TRL
LILLINGTON, NC 27546

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 Tiy Johnson's NPI number?

The NPI number for Tiy Johnson is 1598146177. It was assigned to this individual provider in the NPPES registry on June 9, 2015.

Where is Tiy Johnson located?

Tiy Johnson practices at 40 Autumn Fern Trl, Lillington, NC 27546. The listed phone number is (910) 364-0971.

What is Tiy Johnson's specialty?

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

Is Tiy Johnson enrolled in Medicare?

Yes. Tiy Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Tiy Johnson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Tiy 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 Tiy Johnson was last updated on March 21, 2024. 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.