Roger Alan Johnson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0000000417 Issued in TN

Practice address

1949 Gunbarrel Rd
Suite 125
Chattanooga, TN 37421-3188

Phone

(423) 664-4635

Fax

(423) 664-4640

NPI assigned

Aug 20, 2008

Last updated

Feb 23, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Crossroads Urgent Care PLLC

  dba Urgent Team

  • Family Medicine Physician
  • Murfreesboro, TN
  • NPI 1366644361

  Physician Assistant

  NPD
• Chattanooga Rehabilitation Associates, PC

  • Physical Medicine & Rehabilitation Physician
  • Chattanooga, TN
  • NPI 1891741971
  NPD (past)
• Chattanooga Spine & Rehabilitation PLLC

  dba Siskin Physical Medicine & Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Chattanooga, TN
  • NPI 1982859187
  NPD (past)
• Mountain Bend Medical Associates PLLC

  • Primary Care Clinic/Center
  • Dunlap, TN
  • NPI 1497515225
  NPD (past)

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1053568170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 GUNBARREL RD",
            "address_2": "SUITE 125",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213188",
            "telephone_number": "423-664-4635",
            "fax_number": "423-664-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 GUNBARREL RD",
            "address_2": "SUITE 125",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213188",
            "telephone_number": "423-664-4635",
            "fax_number": "423-664-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROGER",
        "middle_name": "ALAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "0000000417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Kyle Johnson
• Matthew Todd Johnson, DDS
• Melissa Johnson, RN
• Melodie Johnson, R.N.
• Natalie Marie Johnson, DPT
• Sarah Elizabeth Johnson, PA
• Sarah McKinley Johnson, ACNP-BC
• Shanna Johnson, LPC-MHSP
• Stephanie Lynda Johnson, LPC/MHSP
• Taylor Cheyenne Johnson

• Physician Assistant in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.