Healthcare Provider Details

I. General information

NPI: 1285682179
Provider Name (Legal Business Name): DARRELL R. JOHNSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 MIDDLE CREEK RD
SEVIERVILLE TN
37862-5019
US

IV. Provider business mailing address

710 MIDDLE CREEK RD
SEVIERVILLE TN
37862-5019
US

V. Phone/Fax

Practice location:
  • Phone: 865-446-9125
  • Fax: 423-624-2226
Mailing address:
  • Phone:
  • Fax: 423-624-2226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberMD23736
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number042297
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: