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MR. JERRY ALLEN JOHNSON PA-C
NPI 1780779140
Physician Assistant in Round Rock, TX

Active since October 03, 2006
1201 SAM BASS ROAD, ROUND ROCK, TX 78681(512) 388-1861(512) 388-0373 Get Directions Write a Review

NPPES record last updated: September 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jerry Allen Johnson Pa-c NPPES

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

MR. JERRY ALLEN JOHNSON PA-C (NPI 1780779140) is an individual physician assistant in Round Rock, Texas, licensed in Texas (PA00163) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1780779140
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JERRY ALLEN JOHNSONCredential: PA-C
Location Address1201 SAM BASS ROADRound Rock, TX 78681-4137
Mailing Address1201 Sam Bass RoadRound Rock, TX 78681-4137 · (512) 388-1861 · Fax (512) 388-0373
Phone(512) 388-1861
Fax(512) 388-0373
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateSeptember 4, 2008
✔ NPI 1780779140 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 TX · PA00163
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 ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA00163 (TX)
1201 SAM BASS ROAD, Round Rock, TX 78681
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Other Identifiers 2

Medicare PIN8K9431TX
Medicare PIN8K9430TX

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 Jerry Johnson's NPI number?

The NPI number for Jerry Johnson is 1780779140. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Jerry Johnson located?

Jerry Johnson practices at 1201 Sam Bass Road, Round Rock, TX 78681. The listed phone number is (512) 388-1861.

What is Jerry 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 Jerry Johnson was last updated on September 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.