Gary Johnson, PA
NPI 1336116003 · Physician Assistant · South Charleston, WV
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gary Johnson, PA is a Physician Assistant provider in South Charleston, WV (NPI 1336116003).
Provider details
- NPI number
- 1336116003
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 01092 (WV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-02
- Last updated
- 2007-12-17
Frequently asked questions
- What is Gary Johnson's NPI number?
- Gary Johnson's National Provider Identifier (NPI) is 1336116003, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gary Johnson's specialty?
- Gary Johnson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Gary Johnson located?
- Gary Johnson's practice location on file with NPPES is 610 Chestnut St, South Charleston, WV 25309-1251.
- What is Gary Johnson's phone number?
- The practice phone number listed in the NPPES registry for Gary Johnson is (304) 766-7515.
- Does Gary Johnson accept Medicare?
- Gary Johnson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gary Johnson's NPI active?
- Yes — Gary Johnson's NPI (1336116003) is active in the NPPES registry as of the last update on 2007-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.