Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619971561 Individual Practitioner Male Practitioner

Glen F Johnson , PA

Physician Assistant • Fayetteville, NC

Professional Overview & Biography Verified Profile Summary

Glen Johnson, PA is a registered healthcare professional specializing in Physician Assistant in Fayetteville, NC. Practice services are available at 524 BEAUMONT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

524 Beaumont Rd

Fayetteville, NC 283044443

Telephone 8004768646
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fayetteville, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
284 Specialists

Practicing in Fayetteville, NC (9374 Statewide)

Telehealth Adoption Rate
10.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 00010366

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare
P00390009 (NC)

Practice Associates & Co-Workers

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

28 Associated Practitioners
Dr. Currin Nichol , MD

Emergency Medicine

NPI 1013919299

Doctor of Medicine (M.D.)

Dr. Milton Smith , MD

Emergency Medicine

NPI 1033160163

Doctor of Medicine (M.D.)

Daniel Daniels , PA

Physician Assistant

NPI 1134121445

Physician Assistant

Dr. Matthew Wells , MD

Emergency Medicine

NPI 1144272790

Doctor of Medicine (M.D.)

Deven Metzger , PA

Physician Assistant

NPI 1154323459

Physician Assistant

Dr. Danny Redman , MD

Emergency Medicine

NPI 1194709113

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 13, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 13, 2008

Registered at 524 BEAUMONT RD, FAYETTEVILLE, NC 283044443 (Tel: 8004768646)

📍
Updated Business Mailing Address February 13, 2008

Registered at PO BOX 1070, CHARLOTTE, NC 282011070 (Tel: 8004768646)

👤
Provider Name / Credentials Updated February 13, 2008

Recorded as GLEN JOHNSON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2008

Physician Assistant (License #00010366 in NC)

🟢
Initial NPI Registration & Enumeration June 09, 2005

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: 1619971561
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2005
Last Update: February 13, 2008
Sole Proprietor: No

Mailing Address

Po Box 1070

Charlotte, NC 282011070

Phone: 8004768646

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.