Healthcare Provider Details

I. General information

NPI: 1164318556
Provider Name (Legal Business Name): FUSION HEALTH RCM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2025
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 LEE GREENWOOD WAY
KODAK TN
37764-2169
US

IV. Provider business mailing address

154 LEE GREENWOOD WAY
KODAK TN
37764-2169
US

V. Phone/Fax

Practice location:
  • Phone: 865-352-1274
  • Fax: 423-205-4023
Mailing address:
  • Phone: 865-352-1274
  • Fax: 423-205-4023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW TERRY JOHNSON
Title or Position: OWNER
Credential: M.A.C.,LADAC-II
Phone: 865-805-0567