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CHARLES WADE JOHNSON PA-C
NPI 1699224931
Physician Assistant in Fort Meade, SD

Active since September 28, 2016
113 COMANCHE RD, FORT MEADE, SD 57741(605) 347-7491 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Wade Johnson Pa-c NPPES

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

CHARLES WADE JOHNSON PA-C (NPI 1699224931) is an individual physician assistant in Fort Meade, South Dakota and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1699224931
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHARLES WADE JOHNSONCredential: PA-C
Location Address113 COMANCHE RDFort Meade, SD 57741-1002
Mailing Address113 Comanche RdFort Meade, SD 57741-1002 · (605) 347-7491
Phone(605) 347-7491
Sole ProprietorNo
Enumeration DateSeptember 28, 2016
✔ NPI 1699224931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
113 COMANCHE RD, Fort Meade, SD 57741
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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.

DREW MOSS MD
Family Medicine
113 COMANCHE RD
FORT MEADE, SD 57741
Meade County (605) 347-2511
KRISTI LANGERAK M.S., R.D.N
Dietitian, Registered
113 COMANCHE RD
FORT MEADE, SD 57741
Meade County (605) 347-2511
DEVON GEUKE LPN
Licensed Practical Nurse
113 COMANCHE RD
FORT MEADE, SD 57741
Meade County (605) 347-2511
JESSICA WETTESTAD RN
Registered Nurse (Home Health)
113 COMANCHE RD
FORT MEADE, SD 57741
Meade County (605) 347-2511
ALEISIA HEKRDLE
Registered Nurse
113 COMANCHE RD
FORT MEADE, SD 57741
Meade County (605) 347-2511
MRS. LEZLIE MARIE MILLER RD
Dietitian, Registered
113 COMANCHE RD
FORT MEADE, SD 57741
Meade County (605) 347-1609
ANDREW J. COTTINGHAM III MD
Pain Medicine (Interventional Pain Medicine)
113 COMANCHE RD
FORT MEADE, SD 57741
Meade County (605) 347-2511
KAITLIN M ATWATER PA-C
Physician Assistant
113 COMANCHE RD
FORT MEADE, SD 57741
Meade County (605) 720-7449

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 Charles Johnson's NPI number?

The NPI number for Charles Johnson is 1699224931. It was assigned to this individual provider in the NPPES registry on September 28, 2016.

Where is Charles Johnson located?

Charles Johnson practices at 113 Comanche Rd, Fort Meade, SD 57741. The listed phone number is (605) 347-7491.

What is Charles 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 Charles Johnson was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.