Pamela H. Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

IP 54 Issued in TN

Practice address

5211 Highway 153
Suite C
Hixson, TN 37343-4956

Phone

(423) 870-0085

Fax

(423) 870-3411

NPI assigned

Nov 3, 2006

Sex

Female

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104905686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 HIGHWAY 153",
            "address_2": "SUITE C",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434956",
            "telephone_number": "423-870-0085",
            "fax_number": "423-870-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 HIGHWAY 153",
            "address_2": "SUITE C",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434956",
            "telephone_number": "423-870-0085",
            "fax_number": "423-870-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAMELA",
        "middle_name": "H.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "IP 54",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "0065780",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Johnson
• Courtney Johnson
• Kayla Johnson, APRN
• Kennedy Johnson
• Michael Radis Johnson, D.D.S.
• Steven Ray Johnson, RPH
• William Franklin Johnson, D.D.S.
• Steven K Jonakin, M.D.
• Andrew R. Jones, MD
• Donald Lewis Jones, DPH

• All providers in Hixson, TN
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.