Harold Kenneth Johnson II, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

15147 Issued in TN

Practice address

235 Murray Dr
Newport, TN 37821-3631

Phone

(423) 623-0601

Fax

(423) 623-3842

NPI assigned

Jan 27, 2006

Last updated

Nov 10, 2009By the provider in NPPES

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Cocke County Hma LLC

  • Certified Registered Nurse Anesthetist
  • Newport, TN
  • NPI 1104515782
  NPD (past)
• Cocke County Hma, LLC

  dba Tennova Healthcare-Newport Medical Center

  • General Acute Care Hospital
  • Newport, TN
  • NPI 1972576247
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1174594287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MURRAY DR",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213631",
            "telephone_number": "423-623-0601",
            "fax_number": "423-623-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MURRAY DR",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213631",
            "telephone_number": "423-623-0601",
            "fax_number": "423-623-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HAROLD",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "15147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3715433",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James a Yandell (Newport Eyecare Center)
• James R. Williams M.D., PLLC
• Melanie James
• Cheryl Diane Jewett, RNC
• Aimee Johnson
• Jaedyn Mackenzie-Carolyne Johnson, AAS
• Taylor Diane Johnson, MSW
• Kathy Elaine Jones, LCSW
• Marcia N Jones, PHARMD
• Timothy Alvin Jones, PA-C

• Internal Medicine Physician in Newport, TN
• Providers in Newport, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.