Active NPI
Brook A. Johnson, PA
- Physician Assistant
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 13224
- Practice address
- 910 Blackford St
Chattanooga, TN 37403-1405 - Phone
- (423) 778-6011
- Fax
- (865) 539-8008
- NPI assigned
- Jul 9, 2006
- Last updated
- Aug 26, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA0000001176 | TN | |
| Physician Assistant | 363A00000X | 66852 | CA | |
| Physician Assistant | 363A00000X | 13224 | GA | Primary |
Addresses
Primary practice location
910 Blackford St
Chattanooga, TN 37403-1405
Mailing address
PO Box 634811
Cincinnati, OH 45263-4811
Other practice location 1
1001 Johnson Ferry Rd
Atlanta, GA 30342-1605
Phone (404) 785-2273
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4104205 | Other | TN | BLUE CROSS |
| 593101463B | Medicaid | GA | |
| 009938377 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, CA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2445 Memorial Blvd
Suite C
Murfreesboro, TN 37129-5156
Phone (615) 217-6900
403 McBrien Rd
East Ridge, TN 37412-3223
Phone (423) 894-3589
455 Chickamauga Dr
Suite 104
Dayton, TN 37321-4286
Phone (423) 570-0252
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA0000001176 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Valley Health Centers | Current | Accepting new patients | |
| Crossroads Urgent Care PLLC | Physician Assistant | Current | Accepting new patients |
| Golden Valley Health Center | Current | Accepting new patients | |
| Crossroads Urgent Care PLLC | Physician Assistant | Current | Accepting new patients |
| Emergency Coverage Services, PC | Physician Assistant | Past | Accepting new patients |
| Golden Valley Health Center | Past | Accepting new patients |
Locations
1910 Customer Care Way
Atwater, CA 95301
Phone (209) 384-6488
1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111
13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900
821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481
250 Northgate Dr
Manteca, CA 95336
Phone (209) 381-7120
3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104
797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871
847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441
1114 6th St
Modesto, CA 95354
Phone (209) 576-2845
1121 Hammond St
Modesto, CA 95351
Phone (209) 384-6488
1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071
2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 527-0080
637 Merced St
Newman, CA 95360
Phone (209) 862-0270
200 C St
Patterson, CA 95363
Phone (209) 892-6307
9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253
4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 628-4435
1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388
2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900
Organizations & group practices 9
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.
-
dba Urgent Team
- Family Medicine Physician
- Murfreesboro, TN
- NPI 1366644361
Physician Assistant
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
GA
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1164454450
-
- Federally Qualified Health Center (FQHC)
- Turlock, CA
- NPI 1356445753
-
dba Urgent Team
- Rural Health Clinic/Center
- South Pittsburg, TN
- NPI 1427781129
Physician Assistant
-
- Federally Qualified Health Center (FQHC)
- Modesto, CA
- NPI 1427717644
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
Physician Assistant
-
- Federally Qualified Health Center (FQHC)
- Modesto, CA
- NPI 1487867503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1154354223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 634811",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452634811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 BLACKFORD ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374031405",
"telephone_number": "423-778-6011",
"fax_number": "865-539-8008"
}
],
"practiceLocations": [
{
"address_1": "1001 Johnson Ferry Rd",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303421605",
"country_code": "US",
"telephone_number": "404-785-2273",
"fax_number": "404-785-9168",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "BROOK",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "PA0000001176",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "66852",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "13224",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4104205",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "593101463B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009938377",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.
- 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.