Limited public information available

This provider is listed in NPPES, but additional records were not identified in the sources currently connected. Additional information may be available directly from official licensing authorities.

KENNETH JOHNSON, PA-C

PhysicianPA-CPhysician Assistant

EVANS, GANPI · 1962784785Verified via NPPES

State verification availableSave

Source: NPPES NPI Registry

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Identity & practice

Legal name: KENNETH JOHNSON, PA-C
Profession: Physician
NPI: 1962784785
Primary specialty: Physician Assistant
Taxonomy code: 363AS0400X
Practice status: Not on record
Credentials: PA-C
Practice address: 1203 TOWN PARK LN · EVANS, GA, 30809

Provider Intelligence

Everything public we can show about KENNETH JOHNSON, PA-C

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State licenses

Every state licence Phoenix has located for this provider, current or historical.

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Board certifications

Specialty certification reported by a recognised certifying board.

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Look up on ABMS

Certification is a training and examination credential. It does not describe an individual patient outcome.

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Education

Professional school and degree records located in connected public sources.

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Not yet ingested

Education is published inconsistently across states. Absence here does not mean absence of training.

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Residency & fellowship

Postgraduate training programmes reported in public records.

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Not yet ingested

Training history is self-reported to boards and directories, and is not audited by Phoenix.

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Hospital affiliations

Facilities publicly connected to this provider through directories or address overlap.

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An affiliation means a public record links the provider to the facility. It does not guarantee admitting privileges today.

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Practice locations

Addresses where the provider is publicly listed as practising.

Public records available

1 location

1203 TOWN PARK LN · EVANS, GA, 30809 · Primary practice address (NPPES)7066507546Source record

Registry addresses lag reality. Always confirm the location before travelling to an appointment.

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Public disciplinary actions

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Phoenix reports that a record exists. It never interprets severity, intent, or current standing — read the original filing.

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NPI details

The federal identity record every U.S. provider must maintain.

Public records available

NPI 1962784785

Legal name · KENNETH JOHNSON, PA-C
Credentials · PA-C
Primary taxonomy · Physician Assistant363AS0400X

NPPES is self-maintained by the provider, so contact details can be out of date.

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CMS participation

Whether the provider is enrolled in Medicare and accepting assignment.

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Look up on Medicare Care Compare

Medicare enrolment and assignment status are published by CMS and change frequently. Confirm before booking.

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OIG exclusion status

Whether the provider appears on the federal list of excluded individuals.

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Search the OIG LEIE

Exclusion lists are name-based and can return similar names. Confirm identity fields before drawing a conclusion.

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Open Payments

Payments and transfers of value reported by drug and device manufacturers.

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A reported payment is not evidence of wrongdoing. Research funding, meals, and royalties are all reported together.

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Years in practice

Time since the earliest licensing or practice record Phoenix can see.

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No dated record yet

This is a floor, not a career total — earlier practice may exist without a public dated record. Experience is not a quality measure.

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Languages

Languages spoken in the practice.

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Ask the practice directly

Language capability is rarely published in a reliable public dataset, so Phoenix will not guess it.

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Accepted insurance

Plans and networks the provider participates in.

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Network participation changes mid-year and varies by plan and location. Your insurer's directory is the only reliable source.

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Procedure & specialty intelligence

What the specialty and taxonomy records say this provider is trained to do.

Public records available

1 specialty record

Physician Assistant · Primary specialty (NPPES taxonomy)363AS0400XSource record

Specialty codes describe scope of training, not procedure volume, outcomes, or suitability for your situation.

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Practice Locations & Affiliations

Compiled from NPPES, CMS PECOS, and hospital directories

DERMATOLOGY SPECIALISTS OF AUGUSTA, INC

Healthcare Organization

1203 TOWN PARK LN · EVANS, GA, 308093481

Phone · 7066507546

high confidence

Sources: CMS Hospital Compare · NPPES · Phone match + Address match + Same city

PEACE AND COMFORT HOME HEALTH CARE LLC

Healthcare Organization

408 WOODLAWN STREET · EVANS, GA, 30809

Phone · 7732598687

medium confidence

Sources: CMS Hospital Compare · NPPES · ZIP match + Taxonomy compatible + Same city

UNIVERSITY PROMPT CARE

Clinic / Group Practice

447 N BELAIR RD · EVANS, GA, 30809

Phone · 7068542222

medium confidence