Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174517627 Individual Practitioner Male Practitioner

Michael Andrew Johnson , PA-C

Physician Assistant • Fort Walton Beach, FL

Professional Overview & Biography Verified Profile Summary

Michael Johnson, PA-C is a registered healthcare professional specializing in Physician Assistant in Fort Walton Beach, FL. Practice services are available at 1005 MAR WALT DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1005 Mar Walt Dr
Internal Medicine Department

Fort Walton Beach, FL 325476707

Telephone 8508638202
Fax 8508626148
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Walton Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.3 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
44 Specialists

Practicing in Fort Walton Beach, FL (10376 Statewide)

Telehealth Adoption Rate
2.3% 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 FL PA9104179

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

NUCC Taxonomy Code: 363A00000X

State License WA PA10004773

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.

Practice Associates & Co-Workers

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

13 Associated Practitioners
NPI 1184026254

ARNPC

Dr. Thomas Holt , MD

Internal Medicine

NPI 1194700088

Doctor of Medicine (M.D.)

Mary Leach , ARNP

Nurse Practitioner - Family

NPI 1235199134

Advanced Registered Nurse Practitioner

Dr. Phillip Pybass , MD

Internal Medicine

NPI 1255355731

Doctor of Medicine (M.D.)

Gerardo Cruz , PA-C

Physician Assistant

NPI 1275518086

Physician Assistant (Certified)

Margaret Avery , FNP-BC

Nurse Practitioner - Family

NPI 1306422191

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 19, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2009

Registered at 1005 MAR WALT DR, INTERNAL MEDICINE DEPARTMENT, FORT WALTON BEACH, FL 325476707 (Tel: 8508638202)

📍
Updated Business Mailing Address May 19, 2009

Registered at 1005 MAR WALT DRIVE, INTERNAL MEDICINE DEPARTMENT, FORT WALTON BEACH, FL 325476796 (Tel: 8508638202)

👤
Provider Name / Credentials Updated May 19, 2009

Recorded as MICHAEL JOHNSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2009

Physician Assistant (License #PA9104179 in FL)

🟢
Initial NPI Registration & Enumeration September 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: 1174517627
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2005
Last Update: May 19, 2009
Sole Proprietor: No

Mailing Address

1005 Mar Walt Drive, Internal Medicine Department

Fort Walton Beach, FL 325476796

Phone: 8508638202

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.