Mr Kenneth Ray Johnson, PA-C in Evans, GA - Medicare Physician Assistant

Mr Kenneth Ray Johnson, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Evans, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Dermatology Specialists Of Augusta, Inc and his current practice location is 1203 Town Park Ln, Evans, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 650-7546.

Mr Kenneth Ray Johnson is licensed to practice in Georgia (license number 6259) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962784785.

Contact Information

	Mr Kenneth Ray Johnson, PA-C
	1203 Town Park Ln, Evans, GA 30809
	(706) 650-7546
	(706) 922-9168

Map and Direction

Provider's Profile

Full Name	Mr Kenneth Ray Johnson
Gender	Male
Speciality	Physician Assistant
Experience	13 Years
Location	1203 Town Park Ln, Evans, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Kenneth Ray Johnson attended and graduated from Medical College Of Georgia School Of Medicine in 2011

NPI Data:

NPI Number: 1962784785
Provider Enumeration Date: 09/19/2011
Last Update Date: 06/29/2018

Medicare PECOS Information:

PECOS PAC ID: 9335311000
Enrollment ID: I20111003000250

Medical Identifiers

Medical identifiers for Mr Kenneth Ray Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962784785	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	6259 (Georgia)	Secondary
363AS0400X	Physician Assistant - Surgical	6259 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Hospital	Augusta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dermatology Specialists Of Augusta, Inc	2668447988	7

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kenneth Ray Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Kenneth Ray Johnson, PA-C Po Box 63185, Charlotte, NC 28263-3001 Ph: (706) 650-7546	Mr Kenneth Ray Johnson, PA-C 1203 Town Park Ln, Evans, GA 30809 Ph: (706) 650-7546

Reviews and Comments

Physician Assistant Nurses in Evans, GA

Zoe Renew Schultz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4321 University Pkwy Ste 104, Evans, GA 30809 Phone: 706-854-2198
Karli Durden Nelson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4244 Washington Rd, Evans, GA 30809 Phone: 706-760-7607
Jessica Fields, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 902 Ponder Place Ct, Suite 3, Evans, GA 30809 Phone: 706-364-3223 Fax: 706-364-4918
Mr. William Samuel Rutledge, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1175 Dartmore Ct, Evans, GA 30809 Phone: 706-868-6282
Delores Schwartz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 465 N Belair Rd, Ste 1b, Evans, GA 30809 Phone: 706-868-3100 Fax: 706-228-3125
Ms. Caroline Grace Long, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 465 N Belair Rd Ste 2e, Evans, GA 30809 Phone: 706-855-5510 Fax: 706-855-7254
Stephan M Henson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 393 N Belair Rd, Evans, GA 30809 Phone: 706-868-0104

Mr Kenneth Ray Johnson, PA-C - Medicare Physician Assistant in Evans, GA