Individual Healthcare Provider
Priscilla Phan Johnson, PA
Provider's NPPES record last updated: December 1, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1578098695
- Primary Specialty
- Physician Assistant
- Practice Location
- Martinez, Georgia
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 7:45 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Taxonomy code 363A00000X Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Taxonomy code 207Q00000XPhysician Assistant
Medical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AM0700X
Provider-Reported License Information
- Physician Assistant (Georgia)
- 11803
- Family Medicine (Georgia)
- 11803
- Physician Assistant (Florida)
- PA9110351
- Physician Assistant (Florida)
- PA9110351
Practice Locations
Practice Location
1100 W Lake Commons Dr
Martinez, Georgia 30907-7932
Phone: (706) 250-6919
Additional Practice Location
1619 Creighton Rd
Suite 1
Pensacola, Florida 32504-7152
Phone: (850) 444-4700
Fax: (850) 434-8144
Additional Practice Location
2940 N Blue Angel Pkwy
Pensacola, Florida 32506-2925
Phone: (850) 444-4700
Fax: (850) 434-8144
Additional Practice Location
1717 N E St Ste 403
Pensacola, Florida 32501-6334
Phone: (850) 444-4700
Fax: (850) 434-8144
Additional Practice Location
2583 Gulf Breeze Pkwy
Gulf Breeze, Florida 32563
Phone: (850) 444-4700
Additional Practice Location
5934 Berryhill Medical Park Dr # 1
Milton, Florida 32570
Phone: (850) 623-4771
Fax: (850) 623-3938
Additional Practice Location
4304 Lancaster Dr
Niceville, Florida 32578-4563
Phone: (850) 862-2385
Fax: (850) 862-0482
Additional Practice Location
5149 N 9th Ave Ste G35
Pensacola, Florida 32504-8733
Phone: (850) 444-4700
Fax: (850) 434-8144
Additional Practice Location
6001 Industrial Blvd
Century, Florida 32535-3312
Phone: (850) 444-4700
Fax: (850) 434-8144
Additional Practice Location
221 E Redstone Ave
Crestview, Florida 32539-5373
Phone: (850) 398-6606
Fax: (850) 398-6424
Additional Practice Location
319 Green Acres Rd Ste 103
Fort Walton Beach, Florida 32547-1170
Phone: (850) 862-2385
Fax: (850) 862-0482
Additional Practice Location
14114 Alabama St
Jay, Florida 32565-1219
Phone: (850) 444-4700
Fax: (850) 434-8144
Record Information
- Enumeration Date
- April 26, 2017
- Provider's NPPES Record Last Updated
- December 1, 2023
- Certification Date
- December 1, 2023
- NPISignal NPPES Dataset
- August 2026
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