MEDICARE: DR. JAMES S JOHNSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD30511	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851357578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES S JOHNSON MD

Provider Business Mailing Address
First Line	:	137 OBRIEN DR STE 101
Second Line	:
City	:	CROSSVILLE
State	:	TN
Zip	:	38555-8751
Country	:	US
Telephone Number	:	931-484-2220
Fax Number	:	931-484-2225

Provider Business Practice Location Address
First Line	:	137 OBRIEN DR STE 101
Second Line	:
City	:	CROSSVILLE
State	:	TN
Zip	:	38555-8751
Country	:	US
Telephone Number	:	931-484-2220
Fax Number	:	931-484-2225

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2006
Last Update Date	:	06/05/2026

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