Individual provider Active NPI

Ray Charles Johnson, MD, FCCP

  • Pulmonary Disease Physician
  • Murfreesboro, TN
National Provider Identifier
1124096904
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD014276 Issued in TN
Practice address
1800 Medical Center Pkwy Ste 310
Murfreesboro, TN 37129-2586
Phone
(615) 849-9868
Fax
(615) 898-1882
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD14276 TN
Pulmonary Disease Physician 207RP1001X MD014276 TN Primary

Addresses

Primary practice location

1800 Medical Center Pkwy Ste 310
Murfreesboro, TN 37129-2586

Mailing address

1800 Medical Center Pkwy Ste 310
Murfreesboro, TN 37129-2586
Phone (615) 849-9868

Other identifiers 2

IdentifierTypeStateIssuer
3075914MedicaidTN
164071OtherTNBLUE CROSS

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
I20050829000993 TN Practitioner - Pulmonary Disease 6709817737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Meharry Medical College School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Practice addresses (Care Compare)

1800 Medical Ctr Pkwy
Suite 400
Murfreesboro, TN 37129-2567
Phone (615) 284-2015

300 20TH Ave N
Nashville, TN 37203-2131
Phone (615) 284-1400

Hospital & facility affiliations

  • Saint Thomas River Park Hospital Hospital, McMinnville, TN, CCN 440151
  • Saint Thomas Rutherford Hospital Hospital, Murfreesboro, TN, CCN 440053
  • Unity Medical Center Hospital, Manchester, TN, CCN 440007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD14276TNMDCritical Care Medicine (Internal Medicine) Physician
MD014276TNMDPulmonary Disease Physician
14276TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners Pulmonary Disease CurrentSince Aug 1, 2009 Accepting new patients
App of Tennessee HM, PLLC CurrentSince Dec 1, 2019 Accepting new patients

Locations

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

1589 Sparta St
Ste 106
McMinnville, TN 37110
Phone (931) 815-4368

1589 Sparta St
Ste 305
McMinnville, TN 37110
Phone (931) 506-5031

1800 Medical Center Pkwy
Ste 310
Murfreesboro, TN 37129
Phone (615) 849-9868

300 20th Ave N
Fl 9
Nashville, TN 37203

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

Interoperability endpoints

  • Direct secure messaging: ray.johnson.1@7654.direct.athenahealth.com

Organizations & group practices 2

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1124096904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MEDICAL CENTER PKWY STE 310",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292586",
            "telephone_number": "615-849-9868",
            "fax_number": "615-898-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MEDICAL CENTER PKWY STE 310",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292586",
            "telephone_number": "615-849-9868",
            "fax_number": "615-898-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RAY",
        "middle_name": "CHARLES",
        "credential": "MD, FCCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "MD14276",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "MD014276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075914",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "164071",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.