Healthcare Provider Details

I. General information

NPI: 1346557410
Provider Name (Legal Business Name): JOHNSON AUDIOLOGY MANAGEMENT COMPANY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2010
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6830 LEE HWY
CHATTANOOGA TN
37421-2444
US

IV. Provider business mailing address

6830 LEE HWY
CHATTANOOGA TN
37421-2444
US

V. Phone/Fax

Practice location:
  • Phone: 423-710-1432
  • Fax: 866-800-7892
Mailing address:
  • Phone: 423-710-1432
  • Fax: 866-800-7892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1367
License Number StateTN

VIII. Authorized Official

Name: MRS. MEGAN L JOHNSON
Title or Position: OWNER
Credential: AUD
Phone: 423-710-1432