NPI age
19 years
Enumerated 2007-04-22
● Active
Type 1 · Individual
Malinda Johnson, PA-C, OTR
Johnson is 1 of 60 physician assistant providers in Newnan and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
GA, VA
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-01-29
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
19 years
↑ 11 yr above median (8 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 24% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Practice location
354 Newnan Crossing Byp Ste 200
Newnan, GA 302652434
Mailing address
Po Box 370
Fortson, GA 318080370
Additional practice locations
9 secondary locations on file with NPPES.
Location 2
2800 Wellford St
Fredericksburg, VA 224013176
Location 3
6160 Kempsville Cir Ste 200b
Norfolk, VA 23502
Location 4
3253 Taylor Rd Ste 200
Chesapeake, VA 23321
Location 5
3253 Taylor Rd Ste 200
Chesapeake, VA 23321
Location 6
3253 Taylor Rd Ste 200
Chesapeake, VA 23321
Location 7
3253 Taylor Rd Ste 200
Chesapeake, VA 23321
Location 8
860 Omni Blvd Ste 107
Newport News, VA 23606
Location 9
860 Omni Blvd Ste 107
Newport News, VA 23606
Location 10
6262 Veterans Pkwy
Columbus, GA 319093540
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...
-
Occupational TherapistAn occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (VA) | VVS858A | MEDICARE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new physician assistant providers have been added in Newnan in the last 180 days.
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- 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.
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