Harry Keith Johnson, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

7208 Issued in TN

Practice address

1633 Church St
Suite 160
Nashville, TN 37203-2990

Phone

(615) 329-1495

Fax

(615) 329-4450

NPI assigned

Nov 18, 2005

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nephrology

Education

Tufts University School of Medicine, 1963

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dialysis Clinic IncGroup PAC ID 4284541129, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sacramento, CA
  • NPI 1598798076

  Corporate Director, Operational/Managerial Control

  CMS ownership

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.

• Dialysis Clinic Inc

  • Nephrology Physician
  • Nashville, TN
  • NPI 1235651829
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1104808641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 CHURCH ST",
            "address_2": "SUITE 160",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032990",
            "telephone_number": "615-329-1495",
            "fax_number": "615-329-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 CHURCH ST",
            "address_2": "SUITE 160",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032990",
            "telephone_number": "615-329-1495",
            "fax_number": "615-329-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HARRY",
        "middle_name": "KEITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "7208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64627250",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Johnson
• Erik Cole Johnson, LPC
• Erika Taylor Johnson
• Ernest Kaye Johnson III, M.D.
• Gibson Johnson Jr., DDS
• Heath Stuart Johnson, PHARM D
• Jacquelin Michelle Johnson, MS, ATC
• James D Johnson, CST
• James Norris Johnson, MD
• Jamia Johnson

• Nephrology Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Nephrology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.