Active NPI
Elosha Johnson, MD
- Obstetrics & Gynecology Physician
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 51828
- Practice address
- 3601 The Vanderbilt Clinic
Nashville, TN 37232-3050 - Phone
- (615) 322-5000
- NPI assigned
- Sep 13, 2010
- Last updated
- Nov 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 51828 | TN | Primary |
Addresses
Primary practice location
3601 The Vanderbilt Clinic
Nashville, TN 37232-3050
Mailing address
3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Other practice location 1
1035 14th Ave N
Nashville, TN 37208-3050
Phone (615) 327-9400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q045069 | Medicaid | TN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.mmc.edu | Health Information Exchange (HIE) | |
| Direct Messaging Address | ejohnson794881@direct.vumc.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Mississippi School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
620 Skyline Dr
Jackson, TN 38301-3923
Phone (800) 967-2289
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Mississippi, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Meharry Medical College | Current | Accepting new patients | |
| Obhg Tennessee, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Jackson Madison County General Hospital | Past | Accepting new patients |
Locations
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
1005 Dr Db Todd Jr Blvd
Nashville, TN 37208
Phone (615) 327-6000
1818 Albion St
Nashville, TN 37208
Phone (615) 341-4000
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.
-
- Obstetrics & Gynecology Physician
- Jackson, TN
- NPI 1285924977
-
- Obstetrics & Gynecology Physician
- Jackson, MS
- NPI 1083995674
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1174830038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372152691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 THE VANDERBILT CLINIC",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372323050",
"telephone_number": "615-322-5000"
}
],
"practiceLocations": [
{
"address_1": "1035 14th Ave N",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372083050",
"country_code": "US",
"telephone_number": "615-327-9400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "ELOSHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-13",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "51828",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q045069",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.mmc.edu",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "www.mmc.edu",
"address_1": "1818 Albion Street",
"address_2": "Meharry Medical College",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "37208",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ejohnson794881@direct.vumc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information Service Provider",
"address_1": "3601 The Vanderbilt Clinic",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372323050",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.