JOHNSON FAMILY MEDICINE LLC (NPI# 1629446125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629446125 |
| Entity Type | Organization |
| Organization Name | JOHNSON FAMILY MEDICINE LLC |
| Practice Address |
4147 Highway 127 N Ste 102 Crossville TN 38571-7521 |
| Practice Telephone | 9314842220 |
| Practice Fax Number | 9314842225 |
| Mailing Telephone | 9314842220 |
| Mailing Fax Number | 9314842225 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2019-06-28 |
| Authorized Official Name | ANGEL SUZANNE TURNER (PRACTICE MANAGER) |
| Authorized Official Telephone | 9317871112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
14809 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | 30511 | TN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1720 West Ave, Ste 1, Crossville, TN 385554066 | 9317871112 | 9317871108 |
| Street Address |
4147 HIGHWAY 127 N STE 102 |
| City | CROSSVILLE |
| State | TN |
| Zip Code | 38571-7521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851357578 | James S Johnson | Family Medicine | 4147 Highway 127 N Ste 102, Crossville, TN 38571-7521 | 2006-04-21 |
| 1588114276 | Yolanda Hohimer | Nurse Practitioner | 4147 Highway 127 N Ste 102, Crossville, TN 38571-7521 | 2016-10-06 |
| 1952625030 | Sheila R Blalock | Nurse Practitioner | 4147 Highway 127 N Ste 102, Crossville, TN 38571-7521 | 2010-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912254095 | Constance Leigh Joyner | Occupational Therapist | 29 Lakeshore Terrace, Unit #1, Crossville, TN 38571 | 2012-08-08 |
| 1730788274 | Gary Justin Farr | Massage Therapist | 978 Fred Ford Rd, Crossville, TN 38571-0261 | 2020-10-24 |
| 1932766730 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4325 Highway 127 N Ste P, Crossville, TN 38571-0587 | 2019-05-28 |
| 1669554937 | Robert Edmonds | Counselor | 4325 Highway 127 N, Crossville, TN 38571-0587 | 2006-10-19 |
| 1437509429 | Thomas Anthony Moore | Occupational Therapist | 180 Thompson Rd, Crossville, TN 38571-0755 | 2016-06-21 |
| 1386897478 | William Nicholson Owens | Pharmacist | 3132 Peavine Firetower Rd, Crossville, TN 38571-0928 | 2008-11-03 |
| 1366431876 | Deborah Ann Johnson | Counselor | 569 Peavine Firetower Rd, Crossville, TN 38571-0997 | 2005-10-18 |
| 1538632039 | Trista Moseley | Occupational Therapy Assistant | 812 Wattenbarger Rd, Crossville, TN 38571-1212 | 2019-01-07 |
| 1255803755 | Rebekah Anne Ordway | Non-emergency Medical Transport (VAN) | 268 Plateau Rd, Crossville, TN 38571-2049 | 2018-12-20 |
| 1558826305 | Sogo | Non-emergency Medical Transport (VAN) | 268 Plateau Rd, Crossville, TN 38571-2049 | 2019-02-06 |
| Find all providers in zip 38571 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106306 | North Main Medical, LLC | Family Medicine | 3094 N Mainst, Crossville, TN 38555 | 2020-02-21 |
| 1720595762 | Medical Asset Group, LLC | Family Medicine | 15239 Al Highway 68, Crossville, AL 35962-3481 | 2017-12-29 |
| 1801137633 | Allison Marie Simms | Family Medicine | 1645 S Main St Ste 101, Crossville, TN 38555-5998 | 2013-03-04 |
| 1306137393 | Beatrice L. Durham | Family Medicine | 421 South Main St., Crossville, TN 38555 | 2011-04-25 |
| 1538487020 | South Dekalb Family Medical Associates P.C. | Family Medicine | 15239 Al Hwy 68 W, Crossville, AL 35962-0158 | 2010-05-10 |
| 1528248002 | Stacey B. Carlton, Md, PC | Family Medicine | 229 Interstate Dr Ste 15, Crossville, TN 38555-2704 | 2007-11-13 |
| 1326114679 | Catron Skin Care Center, PC | Family Medicine | 3496 N Main St, Crossville, TN 38555-5424 | 2006-11-28 |
| 1548365778 | Marvin A Bowers IIi | Family Medicine | 194 Cleveland St, Crossville, TN 38555 | 2006-09-13 |
| 1912918343 | Steven Pribanich | Family Medicine | 57 W Adams St, Crossville, TN 38555-4836 | 2006-08-10 |
| 1265498646 | Tersa L Guettner | Family Medicine | 131 S Webb Ave, Suite 101, Crossville, TN 38555-8495 | 2006-04-25 |
| Find all providers in CROSSVILLE | ||||
| City | CROSSVILLE |
| Zip Code | 38571 |
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| 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.