Andrew David Johnson, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

61116 Issued in TN

Practice address

999 Guardian Way
Cookeville, TN 38506-0680

Phone

(931) 650-4100

Fax

(931) 650-4101

NPI assigned

May 31, 2016

Last updated

Jan 19, 2021By 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

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

Specialty

Ophthalmology

Education

Medical College of Georgia School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Centers of Tennessee, LLCGroup PAC ID 1355379256, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Tennessee Primary Care, LLC

  • Rural Health Clinic/Center
  • Cookeville, TN
  • NPI 1669367322

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

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.

• Eye Centers of Tennessee, LLC

  • Ophthalmology Physician
  • Crossville, TN
  • NPI 1104940790
  Medicare reassignment Care Compare group NPD
• Tennessee Primary Care, LLC

  • Family Medicine Physician
  • Cookeville, TN
  • NPI 1760251946
  NPD Authorized official
• Cataract and Laser Center, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Crossville, TN
  • NPI 1568431054
  NPD
• Eye Centers of Tennessee, LLC

  • Optometrist
  • McMinnville, TN
  • NPI 1306014378

  Ophthalmology

  NPD
• Eye Centers of Tennessee, LLC

  • Optometrist
  • Cookeville, TN
  • NPI 1548013832
  NPD
• Eye Centers of Tennessee, LLC

  • Optometrist
  • Cookeville, TN
  • NPI 1902920507

  Ophthalmology

  NPD
• Eye Centers of Tennessee, LLC

  • Optometrist
  • Jamestown, TN
  • NPI 1932224128

  Ophthalmology

  NPD
• Tennessee Primary Care, LLC

  • Rural Health Clinic/Center
  • Cookeville, TN
  • NPI 1669367322
  NPD
• Eye Centers of Tennessee, LLC

  • Ophthalmology Physician
  • Cookeville, TN
  • NPI 1093337503
  NPD (past)

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

• Cookeville Regional Medical Center

  • General Acute Care Hospital
  • Cookeville, TN
  • NPI 1275531956
  Care Compare affiliation

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1184072209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 GUARDIAN WAY",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011722",
            "telephone_number": "931-650-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 GUARDIAN WAY",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385060680",
            "telephone_number": "931-650-4100",
            "fax_number": "931-650-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "61116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith T Johns, NP-BC
• Mary H. Johns, D.D.S.
• Stephen J. Johns Sr., D.D.S.
• Alicia Johnson, LPN
• Amy S. Johnson, M.D.
• Ben Johnson, DC
• Breanna Johnson
• Bruce Dewayne Johnson, MD
• Dawn Gunter Johnson, A.P.N.
• Jeri Johnson

• Ophthalmology Physician in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.