Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336124098 Individual Practitioner Male Practitioner

Harold Timothy Johnson , PA-C

Physician Assistant • Fort Walton Beach, FL

Professional Overview & Biography Verified Profile Summary

Harold 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.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, dexamethasone sodium phosphate, 1 mg, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1005 Mar Walt Dr
Family Medicine Department

Fort Walton Beach, FL 325476707

Telephone 8508636600
Fax 8508620977
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
54.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
253 197 $147.00 $62.45
J1100 Injection, dexamethasone sodium phosphate, 1 mg
53 14 $1.00 $0.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
35 31 $210.00 $91.62
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
32 28 $52.00 $13.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
29 29 $201.00 $97.39
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
22 22 $303.00 $144.18
J1030 Injection, methylprednisolone acetate, 40 mg
15 15 $8.00 $6.43

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9101157

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

Medicaid State Provider ID
290698800 (FL)
Commercial Insurance / Payer ID Bcbsfl
Y0CH5 (FL)

Practice Associates & Co-Workers

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

12 Associated Practitioners
Dr. Terry Payne , MD

Family Medicine

NPI 1053396002

Doctor of Medicine (M.D.)

Leslie Anderson , LDN RD

Dietitian, Registered

NPI 1114242781

LDNRD

Brianne Freel

Nurse Practitioner - Family

NPI 1134630197
Erica Clarkson

Nurse Practitioner

NPI 1184952400
NPI 1265417166

Doctor of Medicine (M.D.)

NPI 1275519886

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active January 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 17, 2017

Registered at 1005 MAR WALT DR, FAMILY MEDICINE DEPARTMENT, FORT WALTON BEACH, FL 325476707 (Tel: 8508636600)

📍
Updated Business Mailing Address January 17, 2017

Registered at 1005 MAR WALT DR, FAMILY MEDICINE DEPARTMENT, FORT WALTON BEACH, FL 325476707 (Tel: 8508636600)

👤
Provider Name / Credentials Updated January 17, 2017

Recorded as HAROLD JOHNSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2017

Physician Assistant (License #PA9101157 in FL)

NPI Profile Active May 01, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2012

Registered at 1005 MAR WALT DR, IMMEDIATE CARE DEPARTMENT, FORT WALTON BEACH, FL 325476707 (Tel: 8508638219)

📍
Updated Business Mailing Address May 01, 2012

Registered at 1005 MAR WALT DR, IMMEDIATE CARE DEPARTMENT, FORT WALTON BEACH, FL 325476707 (Tel: 8508638219)

👤
Provider Name / Credentials Updated May 01, 2012

Recorded as HAROLD JOHNSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2012

Physician Assistant (License #PA9101157 in FL)

🟢
Initial NPI Registration & Enumeration December 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1336124098
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2005
Last Update: January 17, 2017
Sole Proprietor: No

Mailing Address

1005 Mar Walt Dr, Family Medicine Department

Fort Walton Beach, FL 325476707

Phone: 8508636600

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.