Jack Johnson

Jack Johnson is a Physician Assistant provider (Physician Assistant) practicing in Bastrop, TX, registered in the NPPES registry with NPI 1154075554 since 2022.

✓ Active NPI ✓ Valid NPI checksum Sole proprietor

NPI	1154075554
Entity type	Individual (Type 1)
Name	Jack Johnson
Sex	Male
Practice address	Bastrop, TX, 78602
Phone	5129886564
Enumeration date	2022-02-05
Last updated in NPPES	2022-02-05

Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

Taxonomy code	Specialty	Primary	License	State
363A00000X	Physician Assistant	Primary	—	—

Copy-ready billing details

Provider: Jack Johnson
NPI: 1154075554
Taxonomy: 363A00000X (Physician Assistant)
Address: Bastrop, TX, 78602

Verify this record

Cross-check NPI 1154075554 against the authoritative CMS record: view Jack Johnson on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What specialty is Jack Johnson?

Jack Johnson is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-02-05.