MR. CLYDE D JOHNSON JR. CSA
NPI 1821256223
Physician Assistant - Surgical in Atlanta, GA

Q: What is Clyde Johnson's NPI number?

The NPI number for Clyde Johnson is 1821256223. It was assigned to this individual provider in the NPPES registry on June 2, 2008.

Q: What is Clyde Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Clyde Johnson was last updated on September 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 02, 2008

5881 GLENDRIGE DR NE, SUITE 120, ATLANTA, GA 30328(404) 303-7703 Get Directions Write a Review

NPPES record last updated: September 22, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Clyde D Johnson Jr. Csa NPPES

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

MR. CLYDE D JOHNSON JR. CSA (NPI 1821256223) is an individual surgical provider in Atlanta, Georgia, licensed in Georgia (2625-2) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1821256223

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. CLYDE D JOHNSON JR.Credential: CSA

Location Address5881 GLENDRIGE DR NE, SUITE 120Atlanta, GA 30328

Mailing Address5881 Glendrige Dr Ne, Suite 120Atlanta, GA 30328 · (404) 303-7703

Phone(404) 303-7703

Sole ProprietorYes

Enumeration DateJune 2, 2008

Last NPPES UpdateSeptember 22, 2017

✔ NPI 1821256223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in GA · 2625-2

5881 GLENDRIGE DR NE, Atlanta, GA 30328

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Other Identifiers 1

Other359555800GA · Dept Of Labor

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 Clyde Johnson's NPI number?

The NPI number for Clyde Johnson is 1821256223. It was assigned to this individual provider in the NPPES registry on June 2, 2008.

Where is Clyde Johnson located?

Clyde Johnson practices at 5881 Glendrige Dr NE Suite 120, Atlanta, GA 30328. The listed phone number is (404) 303-7703.

What is Clyde Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Clyde Johnson was last updated on September 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.