Glen Johnson, PA

NPI: 1619971561

Glen Johnson, PA

Q: What is Glen Johnson's NPI number?

Glen Johnson's NPI number is 1619971561, a unique 10-digit identifier issued by CMS.

Q: What does Glen Johnson specialize in?

Glen Johnson specializes in Physician Assistant, taxonomy code 363A00000X.

Q: Where does Glen Johnson practice?

Glen Johnson practices in Fayetteville, NC 28304-4443.

Q: When was Glen Johnson's NPI issued?

Glen Johnson's NPI was issued on June 9, 2005.

Q: What is Glen Johnson's provider type?

Glen Johnson is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderPhysician Assistant

NPI issued: June 9, 2005

Quick Facts

NPI Number

1619971561

TypeIndividual

StatusActive

SpecialtyPhysician Assistant

Taxonomy363A00000X — Physician Assistant

Phone

(800) 476-8646

StateNC

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1619971561)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (June 9, 2005)

Data source: CMS NPPES

Provider Overview

GLEN JOHNSON, PA is a Physician Assistant provider based in Fayetteville, NC who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1619971561

Provider TypeIndividual Provider

GenderMale

CredentialPA

StatusActive

Enumeration DateJune 9, 2005

Practice Location

CityFayetteville

StateNC

ZIP Code28304-4443

Phone(800) 476-8646

Specialties & Licenses

★ Primary

SpecialtyPhysician Assistant

Taxonomy Code363A00000X

License StateNC

Mailing Address

CityFayetteville

StateNC

ZIP Code28304-4443

Phone(800) 476-8646

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1619971561 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1619971561for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1619971561 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physician Assistant

Physician Assistants (PAs) practice medicine under the supervision of a licensed physician, conducting physical exams, diagnosing conditions, prescribing treatments, and assisting in surgeries.

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