Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK MICHAEL JOHNSON, PA-C
ActiveDERRICK MICHAEL JOHNSON, PA-C is a Physician Assistant healthcare provider located in MONTGOMERY, Alabama. NPI 1588784565 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MONTGOMERY, AL
Registration Details
- NPI Number
- 1588784565
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2007 (19.228010682844 yrs)
- Last Updated
- Dec 5, 2024
- License
-
PA.162 (AL)
Practice Information
- Address
-
1470 TAYLOR RD STE 109MONTGOMERY, AL, 361173747Browse AL providers · Browse ZIP 36117
- Phone
- 3346139000
- Fax
- 3345320056
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MONTGOMERY, AL
| Name | Credential | NPI |
|---|---|---|
| MR. EDWIN LANAR PHILLIPS | PA C | 1356341325 |
| LYDIA LANE JACKSON | PA C | 1487642161 |
| JIMMY L CLEVELAND | PA | 1639137292 |
| LEIA MARLENA THORNTON | PAC | 1376597518 |
| SAMUEL OLIVER STARKE IRVINE JR. | PA-C | 1376590059 |
| MRS. ELLEN SHEA BURCH-BURKHALTER | PA-C | 1154570760 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.