Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407520745 Individual Practitioner Female Practitioner

Mikayla Larae Johnson , PA

Physician Assistant • Birmingham, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mikayla Johnson, PA is a certified Physician Assistant practicing in Birmingham, AL. With approximately 4 years of clinical experience since graduating from University Of South Alabama College Of Medicine in 2022, Mikayla Johnson delivers high-quality medical care to the local community at 619 19TH ST S.

Mikayla Johnson maintains professional affiliations with University Of Alabama Health Services Foundation, Pc, Fast Pace Medical Clinic Pllc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

619 19th St S

Birmingham, AL 352331900

Telephone 2059344011
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of South Alabama College Of Medicine

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Birmingham, AL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -3.0 yrs vs City Avg
City Avg: 7.0 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
370 Specialists

Practicing in Birmingham, AL (1153 Statewide)

Telehealth Adoption Rate
5.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (4 Years) 4 Yrs
Birmingham Specialty Average (7.0 Years) 7.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-11-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AL PA.2052

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License AL PA.2052

Definition to come...

Hospital & Practice Group Affiliations

Fast Pace Medical Clinic Pllc

416 N Seminary St, Florence, AL 356306411

Phone: 9312531110

University Of Alabama Health Services Foundation, Pc

619 19th St S, Birmingham, AL 352491900

Phone: 2059344011

Fast Pace Medical Clinic Pllc

9149 Hwy 119, Alabaster, AL 350075342

Phone: 6592425456

Secondary Practice Locations

2451 University Hospital Drive, Mastin 102

Mobile, AL 366172300

Phone: 2514705890

513 Mulberry Ave

Thomasville, AL 367842256

Phone: 3346364655

1601 Center St

Mobile, AL 366041541

Phone: 2514105437

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Shana Machado , DO

Internal Medicine - Nephrology

NPI 1003158189

Doctor of Osteopathic Medicine (D.O.)

NPI 1003223603
Dr. Sasha Kaiser , MD

Emergency Medicine - Medical Toxicology

NPI 1003261975

Doctor of Medicine (M.D.)

Sabrina Goddard

Surgery - Surgical Critical Care

NPI 1003270323
Amy Brister

Nurse Anesthetist, Certified Registered

NPI 1003486143
Dr. Rebekah Bowie , MD

Emergency Medicine

NPI 1003495607

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location November 11, 2024

Registered at 619 19TH ST S, BIRMINGHAM, AL 352331900 (Tel: 2059344011)

📍
Updated Business Mailing Address November 11, 2024

Registered at PO BOX 55310, BIRMINGHAM, AL 352555310

👤
Provider Name / Credentials Updated November 11, 2024

Recorded as MIKAYLA JOHNSON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2024

Physician Assistant (License #PA.2052 in AL)

📍
Updated Practice Location October 31, 2023

Registered at 2451 UNIVERSITY HOSPITAL DRIVE, MASTIN 102, MOBILE, AL 366172300 (Tel: 2514705890)

📍
Updated Practice Location November 24, 2022

Registered at 1601 CENTER ST, MOBILE, AL 366041541 (Tel: 2514105437)

📍
Updated Business Mailing Address November 24, 2022

Registered at PO BOX 746450, ATLANTA, GA 303746450 (Tel: 8664013057)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2022

Physician Assistant (License #PA.2052 in AL)

NPI Profile Active August 02, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2021

Registered at 513 MULBERRY AVE, THOMASVILLE, AL 367842256 (Tel: 3346364655)

📍
Updated Business Mailing Address August 02, 2021

Registered at 513 MULBERRY AVE, THOMASVILLE, AL 367842256 (Tel: 3346364655)

👤
Provider Name / Credentials Updated August 02, 2021

Recorded as MIKAYLA JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2021

Physician Assistant

🟢
Initial NPI Registration & Enumeration August 02, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407520745
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2021
Last Update: November 11, 2024
Sole Proprietor: No

Mailing Address

Po Box 55310

Birmingham, AL 352555310

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.