Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Priscilla Phan Johnson, PA
Physician Assistant in Martinez, GA · enumerated 2017.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1578098695
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Registry record
Entity type Individual (Type 1)
Name Priscilla Phan Johnson
Credential PA
Sex Female
Practice address 1100 W Lake Commons Dr, Martinez, GA, 30907
Phone (706) 250-6919
Enumeration date Apr 26, 2017
Last updated in NPPES Dec 1, 2023
Taxonomy & licenses
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 11803 (GA) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA9110351 (FL) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA9110351 (FL) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 11803 (GA) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020947500 | Medicaid | FL | - |
| PA9110351 | Other | FL | FLORIDA STATE DOH MEDICAL LICENSURE |
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.
Frequently asked questions
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.
What specialty is Priscilla Johnson?
Priscilla 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.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-12-01.