NPI age
9 years
Enumerated 2017-04-26
● Active
Type 1 · Individual
Priscilla Phan Johnson, PA
Johnson is 1 of 6 physician assistant providers in Martinez and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Plus 3 subspecialties
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-12-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4616 active physician assistant providers in Georgia.
NPI age
9 years
≈ at median (8 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
2
In the 24% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-04Enumerated in NPPES
2017
2026
Where they practice
Practice location
1100 W Lake Commons Dr
Martinez, GA 309077932
Mailing address
Po Box 11037
Pensacola, FL 325241037
Additional practice locations
11 secondary locations on file with NPPES.
Location 2
1619 Creighton Rd, Suite 1
Pensacola, FL 325047152
Location 3
5149 N 9th Ave Ste G35
Pensacola, FL 325048733
Location 4
2940 N Blue Angel Pkwy
Pensacola, FL 325062925
Location 5
1717 N E St Ste 403
Pensacola, FL 325016334
Location 6
2583 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Location 7
4304 Lancaster Dr
Niceville, FL 325784563
Location 8
5934 Berryhill Medical Park Dr # 1
Milton, FL 32570
Location 9
14114 Alabama St
Jay, FL 325651219
Location 10
221 E Redstone Ave
Crestview, FL 325395373
Location 11
319 Green Acres Rd Ste 103
Fort Walton Beach, FL 325471170
Location 12
6001 Industrial Blvd
Century, FL 325353312
Specialties
-
Physician Assistant PrimaryA 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...
-
Family MedicineFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
-
Physician AssistantDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 020947500 | |
| 01 (FL) | PA9110351 | FLORIDA STATE DOH MEDICAL LICENSURE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 4616 Physician Assistant providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.