Kaitlyn Johnson, PA-C
NPI 1780484477 · Physician Assistant · Jacksonville, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kaitlyn Johnson, PA-C is a Physician Assistant provider in Jacksonville, FL (NPI 1780484477).
Provider details
- NPI number
- 1780484477
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 9120892 (FL)
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
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 183 Landrum Ln Ste 201Ponte Vedra Beach, FL 32082-3838Phone: (904) 932-0685
Registry dates
- Enumerated
- 2025-03-13
- Last updated
- 2025-10-02
- Certified
- 2025-10-02
Frequently asked questions
- What is Kaitlyn Johnson's NPI number?
- Kaitlyn Johnson's National Provider Identifier (NPI) is 1780484477, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kaitlyn Johnson's specialty?
- Kaitlyn Johnson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kaitlyn Johnson located?
- Kaitlyn Johnson's practice location on file with NPPES is 2804 Saint Johns Bluff Rd S Ste 109, Jacksonville, FL 32246-3777.
- What is Kaitlyn Johnson's phone number?
- The practice phone number listed in the NPPES registry for Kaitlyn Johnson is (772) 404-1220.
- Does Kaitlyn Johnson accept Medicare?
- Kaitlyn Johnson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kaitlyn Johnson's NPI active?
- Yes — Kaitlyn Johnson's NPI (1780484477) is active in the NPPES registry as of the last update on 2025-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.