TIMOTHY JOHNSON PA
NPI 1912913807
Physician Assistant - Medical in Lufkin, TX

Active since July 31, 2006PECOS Enrolled
1301 W FRANK AVE, LUFKIN, TX 75904(936) 633-2758 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Johnson Pa NPPES

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

TIMOTHY JOHNSON PA (NPI 1912913807) is an individual medical provider in Lufkin, Texas, licensed in Texas (PA02448) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912913807
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTIMOTHY JOHNSONCredential: PA
Location Address1301 W FRANK AVELufkin, TX 75904-3305
Mailing Address2602 Tulane DrLufkin, TX 75901-7246 · (936) 637-1439
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1912913807 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
License Licensed in TX · PA02448
1301 W FRANK AVE, Lufkin, TX 75904

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Timothy Johnson Pa 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 15

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

Social Worker (Clinical)
1301 W FRANK AVE
LUFKIN, TX 75904
Registered Nurse
1301 W FRANK AVE
LUFKIN, TX 75904
Registered Nurse
1301 W FRANK AVE
LUFKIN, TX 75904
Pharmacist
1301 W FRANK AVE
LUFKIN, TX 75904
Pharmacist
1301 W FRANK AVE, CWOP VA CLINIC
LUFKIN, TX 75904
Dietitian, Registered
1301 W FRANK AVE
LUFKIN, TX 75904
Registered Nurse
1301 W FRANK AVE
LUFKIN, TX 75904
Internal Medicine
1301 W FRANK AVE
LUFKIN, TX 75904

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 Timothy Johnson's NPI number?

The NPI number for Timothy Johnson is 1912913807. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Timothy Johnson located?

Timothy Johnson practices at 1301 W Frank Ave, Lufkin, TX 75904. The listed phone number is (936) 633-2758.

What is Timothy Johnson's specialty?

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

Is Timothy Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Timothy Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.