David A Johnson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD28342 Issued in TN

Practice address

500 McFarland Street
Healthstar Physicians
Morristown, TN 37814

Phone

(423) 587-5551

Fax

(423) 587-0347

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cresent Medical, PLLC

  • Family Medicine Physician
  • Morristown, TN
  • NPI 1508916610
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1013968916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH NWST",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5038",
            "fax_number": "423-339-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MCFARLAND STREET",
            "address_2": "HEALTHSTAR PHYSICIANS",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "37814",
            "telephone_number": "423-587-5551",
            "fax_number": "423-587-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD28342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3805019",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taryn Jinnette, DO
• JJ Beans at Howards LLC
• JJ Beans LLC
• JJ Beans LLC
• Bradley S Johnson, DMD
• Kevin Brandt Johnson, DO
• Linda Arlene Johnson, CPED/CFO
• Ashton Lee Johnston
• Krista Jolynn Johnston, MSSW
• Cabel L Jones III, D. PHARM.

• Family Medicine Physician in Morristown, TN
• Providers in Morristown, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.