Individual provider Active NPI

Marshall R Johnson Jr., MD

  • Internal Medicine Physician
  • Hendersonville, TN
National Provider Identifier
1124007984
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD37449 Issued in TN
Practice address
355 New Shackle Island Rd
Hendersonville, TN 37075-2300
Phone
(615) 338-1000
Fax
(615) 338-1101
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X MD37449 TN
Internal Medicine Physician 207R00000X MD37449 TN Primary

Addresses

Primary practice location

355 New Shackle Island Rd
Hendersonville, TN 37075-2300

Mailing address

355 New Shackle Island Rd
Hendersonville, TN 37075-2300
Phone (615) 338-1000

Other identifiers 1

IdentifierTypeStateIssuer
3884900MedicaidTN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050524001264 TN Practitioner - Internal Medicine 5092757633 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kentucky College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians
Spero Health of Tennessee, LLCGroup PAC ID 0941683593, 21 clinicians
Hospital Medicine Services of TN LLCGroup PAC ID 2365807633, 266 clinicians

Practice addresses (Care Compare)

110 Saint Blaise Rd
Suite 200
Gallatin, TN 37066-4427
Phone (615) 230-8070

118 Hwy 70 E
Dickson, TN 37055-7039
Phone (615) 560-7001

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

355 New Shackle Island Rd
Hendersonville Medical Center
Hendersonville, TN 37075-2479
Phone (615) 338-1000

Hospital & facility affiliations

  • NHC Homecare Springfield Home health agency, Springfield, TN, CCN 447276
  • Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194
  • Highpoint Health-Sumner With Ascension Saint Thoma Hospital, Gallatin, TN, CCN 440003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD37449TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of TN, LLC CurrentSince Apr 1, 2023 Accepting new patients
Spero Health of Tennessee, LLC CurrentSince May 12, 2022 Accepting new patients
Recover Together, Inc. Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Aug 1, 2025 Accepting new patients
Advanced Diagnostic Imaging, PC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Hendersonville Hospitalist Services Inc Internal Medicine Past Accepting new patients
Southeastern Physician Services PC Internal Medicine Past Accepting new patients
Premier Hospitalist Associates, PLLC PastSince Feb 25, 2013 Accepting new patients
Hendersonville Hospital Corporation Past Accepting new patients
Saint Thomas Medical Partners Internal Medicine Past Accepting new patients
River Park Hospitalists, LLC Past Accepting new patients
Children and Adults Medical Group, LLC Past Accepting new patients

Locations

111 S Bedford St
Ste 205
Burlington, MA 01803
Phone (512) 439-3547

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

2237 Lowes Dr W
Ste B
Clarksville, TN 37040
Phone (931) 266-0722

118 Highway 70 E
Dickson, TN 37055
Phone (615) 446-4999

118 Highway 70 E
Ste 2
Dickson, TN 37055
Phone (615) 441-5296

110 Saint Blaise Rd
Ste 200
Gallatin, TN 37066

110 Saint Blaise Rd
Gallatin, TN 37066
Phone (615) 590-8000

355 New Shackle Island Rd
Fl 3
Hendersonvlle, TN 37075
Phone (615) 822-2214

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

102 Wessington Pl
Hendersonvlle, TN 37075
Phone (615) 418-2916

4409 Central Avenue Pike
Ste 102
Knoxville, TN 37912
Phone (865) 687-0474

1035 E Old Hickory Blvd
Madison, TN 37115
Phone (615) 622-0523

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

1645 Murfreesboro Pike
Ste F
Nashville, TN 37217
Phone (615) 361-0484

4230 Harding Pike
Ste 450
Nashville, TN 37205
Phone (615) 222-3945

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

2300 Patterson St
#M
Nashville, TN 37203

301 Wolverine Trl
Ste 200
Smyrna, TN 37167
Phone (615) 459-5228

200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000

Interoperability endpoints

  • Direct secure messaging: marshall.johnson@ahp.eclinicaldirectplus.com
  • FHIR API: https://api.qualifacts.org/api/fhir/sperohealth/r4/

Organizations & group practices 12

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1124007984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 NEW SHACKLE ISLAND RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752300",
            "telephone_number": "615-338-1000",
            "fax_number": "615-338-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 NEW SHACKLE ISLAND RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752300",
            "telephone_number": "615-338-1000",
            "fax_number": "615-338-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARSHALL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "TN",
            "license": "MD37449",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD37449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3884900",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.