Individual provider Active NPI

Amy L Johnson, FNP-BC

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1114557550
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27129 Issued in TN
Practice address
1328 Papermill Pointe Way
Knoxville, TN 37909-1903
Phone
(865) 212-0530
Fax
(865) 212-0525
NPI assigned
Jan 24, 2020
Last updated
Mar 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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 27129 TN Primary

Addresses

Primary practice location

1328 Papermill Pointe Way
Knoxville, TN 37909-1903

Mailing address

1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383
Phone (865) 584-4747

Other practice location 1

2103 Forest Dr Ste 5
Gray, TN 37615-8423
Phone (865) 212-0530

Other practice location 2

145 Indian Hills Dr
Greeneville, TN 37745-6316
Phone (423) 783-7965

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
I20210519000376 TN Practitioner - Nurse Practitioner 9739588070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1907 W Morris Blvd
Suite A200
Morristown, TN 37813-3880
Phone (423) 522-8700

2103 Forest Dr
Suite 5
Gray, TN 37615-8423
Phone (423) 794-3142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Wound Care of Tennessee, PC Family CurrentSince Nov 25, 2025 Accepting new patients
Associated Wound Specialists PC Family CurrentSince Feb 14, 2024 Accepting new patients
Premier Wound Care of Tennessee, PC CurrentSince Nov 25, 2025 Accepting new patients
Associated Wound Specialists PC Family CurrentSince Feb 14, 2024 Accepting new patients

Locations

2103 Forest Dr
Ste 5
Gray, TN 37615
Phone (423) 477-2885

1326 Papermill Pointe Way
Knoxville, TN 37909
Phone (865) 219-3506

1328 Papermill Pointe Way
Knoxville, TN 37909
Phone (865) 212-0530

1907 W Morris Blvd
Ste A200
Morristown, TN 37813
Phone (423) 522-8700

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": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1114557550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD UNIT 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091383",
            "telephone_number": "865-584-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 PAPERMILL POINTE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091903",
            "telephone_number": "865-212-0530",
            "fax_number": "865-212-0525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 Forest Dr Ste 5",
            "address_purpose": "LOCATION",
            "city": "Gray",
            "state": "TN",
            "postal_code": "376158423",
            "country_code": "US",
            "telephone_number": "865-212-0530",
            "fax_number": "865-212-0525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Indian Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377456316",
            "country_code": "US",
            "telephone_number": "423-783-7965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.