MR. WILBUR LAVERN JOHNSON (NPI# 1104893130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104893130 |
| Entity Type | Individual |
| Full Name | MR. WILBUR LAVERN JOHNSON |
| Credential | PA-C |
| Practice Address |
851042 Us Highway 17 Ufjp Yulee Family Practice Center Yulee FL 32097-2845 |
| Mailing Address |
Po Box 44008 Ufjp Provider Enrollment Jacksonville FL 32231-4008 |
| Practice Telephone | 9042259043 |
| Practice Fax Number | 9042259491 |
| Mailing Telephone | 9042443199 |
| Mailing Fax Number | 9042443660 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2008-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA1720 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 100002828A | 05 | |
| FL | 2914450-00 | 05 |
| Street Address |
851042 US HIGHWAY 17 UFJP YULEE FAMILY PRACTICE CENTER |
| City | YULEE |
| State | FL |
| Zip Code | 32097-2845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649250606 | Erica Kitchell Wiedl | Family Medicine | 851042 Us Highway 17, Yulee, FL 32097-2845 | 2006-01-18 |
| 1710509203 | Baptist Primary Care Inc | Family Medicine | 851042 Us Highway 17, Yulee, FL 32097-2845 | 2020-05-07 |
| 1790249092 | Glinda Wortham | Nurse Practitioner | 851042 Us Highway 17, Yulee, FL 32097-2845 | 2019-01-31 |
| 1558765875 | Evan James Leonard | Physician Assistant | 851042 Us Highway 17, Yulee, FL 32097-2845 | 2014-10-15 |
| 1467742957 | Jeremy Latron Coleman | Family Medicine | 851042 Us Highway 17, Yulee, FL 32097-2845 | 2011-04-18 |
| 1447482898 | Megan Lynn Day | Physician Assistant | 851042 Us Highway 17, Yulee, FL 32097-2845 | 2009-08-19 |
| 1518126168 | University of Florida Jacksonville Physicians, Inc. | Family Medicine | 851042 Us Highway 17, Ufjp Yulee Family Practice, Yulee, FL 32097-2845 | 2008-06-07 |
| 1023076098 | Jimmie Stone | Physician Assistant | 851042 Us Highway 17, Yulee, FL 32097-2845 | 2006-05-01 |
| 1518936699 | James William Price | Family Medicine | 851042 Us Highway 17, Ufjp Yulee Family Practice Center, Yulee, FL 32097-2845 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432012 | Sinead Carr | Speech-Language Pathologist | Pediatric Therapy Associates, 463380 State Rd 200 Unit A, Yulee, FL 32097 | 2020-09-17 |
| 1932749298 | Lekira Elmore Taylor | Nurse's Aide | 951421 Bridge Parkway, Fernandina Beach, FL 32097 | 2020-01-14 |
| 1003451816 | Faculty Associates, Inc | Dentist | 76011 William Burgess Boulevard, Yulee, FL 32097 | 2019-11-15 |
| 1932744414 | Beckham's Holdings,llc | Eyewear Supplier (Equipment, not the service) | 463688 Fl-200, Suite 9, Yulee, FL 32097 | 2019-11-08 |
| 1740836048 | University of Florida Jacksonville Physicians Inc | Clinic/Center | 76011 William Burgess Blvd, Yulee, FL 32097 | 2019-08-13 |
| 1669039400 | Genesis Health Development, Inc. | Clinic/Center | 463721 Sr 200, Suite 7, Jacksonville, FL 32097 | 2019-05-28 |
| 1366981540 | Shannon C Taylor | Occupational Therapist | 75136 Ravenwood Drive, Yulee, FL 32097 | 2017-02-21 |
| 1982063244 | Suzanne J Leffew | Nurse Practitioner | 463646 Sr 200 West, Ste. 12, Yulee, FL 32097 | 2016-02-15 |
| 1558737163 | Sun Gallery Enterprises | Eyewear Supplier (Equipment, not the service) | 463867 Sr 200, Suite 4, Yulee, FL 32097 | 2015-08-18 |
| 1962777177 | Spirit Enterprises | Skilled Nursing Facility | 9035 Brian Dairy Road, Largo Health Center, Largo, FL 32097 | 2012-03-21 |
| Find all providers in zip 32097 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447482898 | Megan Lynn Day | Physician Assistant | 851042 Us Highway 17, Yulee, FL 32097-2845 | 2009-08-19 |
| 1730328147 | Sharon Renee Lettsome | Physician Assistant | 463142 Sr 200, Yulee, FL 32097 | 2009-02-09 |
| 1407921323 | Joshua Woodin | Physician Assistant | 463832 Sr 200, Yulee, FL 32097-3638 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295525 | Asahel Romero | Physician Assistant | 13228 Canna Lily Dr, Orlando, FL 32824-5067 | 2020-11-07 |
| 1629679360 | Samantha Lee Zavada | Physician Assistant | 9459 Silver Pine Loop, Fort Myers, FL 33967-5152 | 2020-11-07 |
| 1235730177 | Emily Figueroa Vega | Physician Assistant | 1920 Nw 97th Ave, Coral Springs, FL 33071-5950 | 2020-11-06 |
| 1922609114 | Jeannine Castaneda Calderon | Physician Assistant | 816 Arbor Pointe Ave, Minneola, FL 34715-6052 | 2020-11-04 |
| 1962003178 | Mohammed Bilal Sheikh | Physician Assistant | 2920 Ne 207th St Ste 901, Miami, FL 33180-1444 | 2020-11-04 |
| 1891396131 | Whiplashmd, LLC | Physician Assistant | 940 Centre Cir Ste 1018, Altamonte Springs, FL 32714-7242 | 2020-11-03 |
| 1831799527 | Emily Vander Zee | Physician Assistant | 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 | 2020-10-30 |
| 1245830314 | Jonathan V Korah | Physician Assistant | 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 | 2020-10-28 |
| 1255931473 | Rachel Gavrielle Stahly | Physician Assistant | 11438 Emuness Rd, Jacksonville, FL 32218-4050 | 2020-10-27 |
| 1356941504 | Kelsey Alexandra Leon | Physician Assistant | 5033 W Laurel St, Tampa, FL 33607-3855 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. WILBUR LAVERN JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.