GLORIA JOHNSON
NPI 1740931948
Physician Assistant in Orlando, FL

Q: What is Gloria Johnson's NPI number?

The NPI number for Gloria Johnson is 1740931948. It was assigned to this individual provider in the NPPES registry on January 10, 2022.

Q: What is Gloria 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 Gloria Johnson was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 January 10, 2022PECOS EnrolledAccepts Medicare Assignment

2415 N ORANGE AVE STE 502, ORLANDO, FL 32804(407) 303-2805(407) 303-2801 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Gloria Johnson NPPES

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

GLORIA JOHNSON (NPI 1740931948) is an individual physician assistant in Orlando, Florida, licensed in Florida (PA9119046) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Boynton Beach.

NPPES Registry Identity

NPI1740931948

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameGLORIA JOHNSON

Location Address2415 N ORANGE AVE STE 502Orlando, FL 32804-5503

Mailing Address9535 Verona Lakes BlvdBoynton Beach, FL 33472-2759

Phone(407) 303-2805

Fax(407) 303-2801

Sole ProprietorYes

Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2024

Enumeration DateJanuary 10, 2022

Last NPPES UpdateOctober 15, 2024

NPPES CertifiedOctober 15, 2024

✔ NPI 1740931948 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 FL · PA9119046

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2415 N ORANGE AVE STE 502, Orlando, FL 32804

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Secondary Practice Location 1

Location 19535 Verona Lakes BlvdBoynton Beach, FL 33472-2759 · Phone (561) 704-7116

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

Gloria Johnson 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 ID7416480629

PECOS Enrollment IDI20241026000347

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 2

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

Adventhealth Deland

Acute Care Hospitals · Deland, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100045

Location701 W Plymouth AveDeland, FL 32720 · Volusia County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32804 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 18

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

SHAUGHN KOUKOS PA-C

Physician Assistant