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Jared Ryan Johnson, PA-C

NPI 1235413949ActiveIndividual· Physician Assistant· Tallahassee, FL

Physician Assistant (PA-C) in Tallahassee, Florida, trained at Lincoln Memorial University Medical Department (class of 2011). 763 Medicare patients in 2024, $109,882 paid; all of their 1,495 Part D prescriptions were generic.

Overview

NPI1235413949
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedSep 30, 2011
Last updated in NPPESFeb 24, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA9106174FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (FL); Practitioner - Physician Assistant (GA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients763
Services billed6,595 across 63 procedure codes
Paid by Medicare$109,882

Part D prescriptions in 2024

Prescriptions (claims)1,495 · 1,566 30-day fills
Patients852
Total drug cost$11,434
Generic share100% of claims

Medicare sources and data years

Education and affiliations

Medical schoolLincoln Memorial University Medical Department
Graduation year2011
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Tallahassee

All 181 physician assistants in Tallahassee · All physician assistants in Florida