Physician Compare National (NPI:1033279872)

HEALTHCARE PROVIDER: DARRELL JAMES JOHNSON D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1033279872
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608907100
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100628000475
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JOHNSON
	Individual professional last name
Provider First Name	DARRELL
	Individual professional first name
Provider Middle Name	JAMES
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK CHIROPRACTIC COLLEGE
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	110 SKYLINE DR
	Group Practice or individual's line 1 address
City	MAYNARDVILLE
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	378073063
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8659927000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y