Individual provider Active NPI

Gabriel Johnson, FNP-C

  • Family Nurse Practitioner
  • Celina, TN
National Provider Identifier
1093340622
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27215 Issued in TN
Practice address
115 Guffey St
Celina, TN 38551-4089
Phone
(931) 243-2651
NPI assigned
Mar 4, 2020
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 27215 TN Primary

Addresses

Primary practice location

115 Guffey St
Celina, TN 38551-4089

Mailing address

1100 England Dr
Cookeville, TN 38501-0924
Phone (931) 520-4466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200728000289 TN Practitioner - Nurse Practitioner 6901220623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
27215TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Tennessee CurrentSince Jul 28, 2025 Accepting new patients
State of Tennessee Current Accepting new patients
State of Tennessee CurrentSince Jul 28, 2025 Accepting new patients
State of Tennessee PastSince Aug 3, 2025 Accepting new patients

Locations

115 Guffey St
Celina, TN 38551
Phone (931) 243-2651

1100 England Dr
Cookeville, TN 38501
Phone (931) 528-7531

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1093340622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ENGLAND DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010924",
            "telephone_number": "931-520-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 GUFFEY ST",
            "city": "CELINA",
            "state": "TN",
            "postal_code": "385514089",
            "telephone_number": "931-243-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GABRIEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, TN

Sources for this page

Verify at the official NPI Registry.