IndividualActive
Charles Johnson, PA-C
NPI 1114940087 · Physician Assistant · Carencro, LA
Provider details
- NPI number
- 1114940087
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- A30094 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3824 Ne Evangeline Trwy
Carencro, LA 70520-5966
Phone: (337) 565-2675
Fax: (337) 565-2676
Approximate (ZIP-level) locationGet directions
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Additional practice locations (1)
- 3444 Masonic DriveAlexandria, LA 71301Phone: (318) 473-9556Fax: (318) 441-8310
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.