Kaitlyn Johnson, PA-C
Physician Assistant · Jacksonville, FL
Kaitlyn Johnson, PA-C is a physician assistant with a practice address in Jacksonville, Florida, and NPI 1780484477, issued on Mar 13, 2025. Check the license (Florida 9120892, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Kaitlyn Johnson
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 9120892 FL
Self-reported in NPPES; status is on the state search - Practice location
- 2804 Saint Johns Bluff RD S Ste 109, Jacksonville, FL 32246
- Phone
- (772) 404-1220
- Enumerated
- Mar 13, 2025
- Record last updated
- Oct 2, 2025
- Medicare enrollment
- Enrolled (PECOS I20251029000047); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 10,257 in Florida → Look up another NPI →
Also registered at 2804 Saint Johns Bluff RD S Ste 109
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Chase Broome, PA-CPhysician Assistant1073447330
- Kaleigh Freshcorn, PA-CPhysician Assistant1508799685
- Hector Gonzalez, MPASMedical Physician Assistant1427120500
- Katherine Poindexter, PA-C, RDNDermatology Physician1538673058
- Alizay Starks, PA-CPhysician Assistant1881420552
Verify Kaitlyn Johnson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license 9120892Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Coastal Dermatology PAJacksonville, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kaitlyn Johnson among 10,257 physician assistant records in Florida
Kaitlyn Johnson, PA-C is one of 10,257 physician assistant records with a practice address in Florida. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 90% of them.
- NPI issued2025 · 90% of these records are older, 4% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 57% of these records are
- Graduated2025 · median 2018 among the 5,867 with a school on file
- Record last updated2025 · 37% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
842 physician assistant records list a practice address in Jacksonville
They are 842 of the 24,194 NPPES records with a practice address in Jacksonville, and 10,257 physician assistant records in Florida.
All 10,257 in Florida → Every provider in Jacksonville → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Chase Broome, PA-CJacksonville, FL 322461073447330
- Svetlana Durso, PA-CJacksonville, FL 322461154832632
- Kaleigh Freshcorn, PA-CJacksonville, FL 322461508799685
- Pedro Gutierrez, PHYSICIAN ASSISTANTJacksonville, FL 322461972049864
- Michael Hauser, PHARM.D.Jacksonville, FL 322461780936823
- Laurel Herron, PA-CJacksonville, FL 322461083681357
- Rafael Leyva, PAJacksonville, FL 322461184422594
- Alizay Starks, PA-CJacksonville, FL 322461881420552
Common questions
What is Kaitlyn Johnson, PA-C's NPI number?
Kaitlyn Johnson, PA-C's National Provider Identifier (NPI) is 1780484477, issued on Mar 13, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Kaitlyn Johnson, PA-C located?
The NPPES record lists a practice address at 2804 Saint Johns Bluff RD S Ste 109, Jacksonville, FL, 32246. Phone: (772) 404-1220. Providers update this record themselves, so call before visiting.
How can I verify Kaitlyn Johnson, PA-C's license?
NPPES lists Florida license number 9120892, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.