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MRS. TATIA FORD JOHNSON MPAS, PA-C
NPI 1811146178
Physician Assistant - Medical in Glenn Dale, MD

Active since September 11, 2008PECOS Enrolled
12150 ANNAPOLIS RD, SUITE #300, GLENN DALE, MD 20769(301) 249-5384(301) 249-6047 Get Directions Write a Review

NPPES record last updated: October 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tatia Ford Johnson Mpas, Pa-c NPPES

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

MRS. TATIA FORD JOHNSON MPAS, PA-C (NPI 1811146178) is an individual medical provider in Glenn Dale, Maryland, licensed in Maryland (C0002501) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811146178
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. TATIA FORD JOHNSONCredential: MPAS, PA-C
Location Address12150 ANNAPOLIS RD, SUITE #300Glenn Dale, MD 20769-9183
Mailing Address12150 Annapolis Rd, Suite #300Glenn Dale, MD 20769-9183 · (301) 249-5384 · Fax (301) 249-6047
Phone(301) 249-5384
Fax(301) 249-6047
Sole ProprietorNo
Enumeration DateSeptember 11, 2008
Last NPPES UpdateOctober 14, 2010
✔ NPI 1811146178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in MD · C0002501✔ Licensed in PA · M002916L
12150 ANNAPOLIS RD, Glenn Dale, MD 20769
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Other Names 1

Former Name (1)Miss Tatia Lynn Ford Mpas, Pa-c

Other Identifiers 2

Medicare PINH888F569MD
Medicare UPINP85736MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tatia Ford Johnson Mpas, 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.

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.

ARNOLD S KIRSHENBAUM MD PA
Specialist
12150 ANNAPOLIS RD, SUITE #108
GLENN DALE, MD 20769
Prince George's County (301) 860-1200
ELAINE YOUNG BUNDY CRNP
Nurse Practitioner
12150 ANNAPOLIS RD, SUITE 108
GLENN DALE, MD 20769
Prince George's County (301) 860-1200
NWAEHIHIE HARRISON ONYEAGHALA MD
General Practice
12150 ANNAPOLIS RD, SUITE 100
GLENN DALE, MD 20769
Prince George's County (301) 464-7601
PRIME MEDICINE LLC
Internal Medicine
12150 ANNAPOLIS RD, SUITE 308
GLENN DALE, MD 20769
Prince George's County (301) 805-0006
THE BARIATRIC AND HERNIA INSTITUTE, PC
Surgery
12150 ANNAPOLIS RD, SUITE 309
GLENN DALE, MD 20769
Prince George's County (240) 206-8506
KRYSTAL MEDICAL ASSOCIATES LLC
Clinic/Center (Primary Care)
12150 ANNAPOLIS RD, SUITE 100
GLENN DALE, MD 20769
Prince George's County (301) 464-7601
DR. OCTAVIA S SIMKINS-WISEMAN DDS
Dentist (General Practice)
12150 ANNAPOLIS RD, SUITE301
GLENN DALE, MD 20769
Prince George's County (301) 249-8000
RICARDO O PYFROM MD PA
Orthopaedic Surgery
12150 ANNAPOLIS RD, SUITE 305
GLENN DALE, MD 20769
Prince George's County (301) 809-2515

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 Tatia Johnson's NPI number?

The NPI number for Tatia Johnson is 1811146178. It was assigned to this individual provider in the NPPES registry on September 11, 2008. The provider is also known as Miss Tatia Lynn Ford Mpas, Pa-C.

Where is Tatia Johnson located?

Tatia Johnson practices at 12150 Annapolis Rd Suite #300, Glenn Dale, MD 20769. The listed phone number is (301) 249-5384.

What is Tatia Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tatia Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tatia Johnson was last updated on October 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.