| Johnson Family Medicine Llc | |
|
4147 Highway 127 N Ste 102 Crossville TN 38571-7521 | |
| (931) 484-2220 | |
| (931) 484-2225 |
| Full Name | Johnson Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4147 Highway 127 N Ste 102, Crossville, Tennessee |
| Authorized Official Name and Position | Angel Suzanne Turner (PRACTICE MANAGER) |
| Authorized Official Contact | 9317871112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Family Medicine Llc 4147 Highway 127 N Ste 102 Crossville TN 38571-7521 Ph: (931) 484-2220 | Johnson Family Medicine Llc 4147 Highway 127 N Ste 102 Crossville TN 38571-7521 Ph: (931) 484-2220 |
| NPI Number | 1629446125 |
|---|---|
| Provider Enumeration Date | 09/14/2015 |
| Last Update Date | 06/28/2019 |
| Medicare PECOS PAC ID | 6406156637 |
|---|---|
| Medicare Enrollment ID | O20151119002612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629446125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30511 (Tennessee) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 14809 (Tennessee) | Secondary |
| Provider Name | James S Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851357578 PECOS PAC ID: 1355492844 Enrollment ID: I20090623000461 |
| Provider Name | Sheila R Blalock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952625030 PECOS PAC ID: 7517148075 Enrollment ID: I20110217000154 |
| Provider Name | Yolanda Hohimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588114276 PECOS PAC ID: 9830472588 Enrollment ID: I20170203001543 |
| Provider Name | Rebecca L Swafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366020588 PECOS PAC ID: 2062812407 Enrollment ID: I20210607002483 |
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