Active NPI
David Andrew Johnson, MSW, LMFT
- Marriage & Family Therapist
- MC Kenzie, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT917
- Practice address
- 205 Hospital Dr
Suite a
MC Kenzie, TN 38201-1649 - Phone
- (731) 352-7907
- Fax
- (731) 352-4459
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT917 | TN | Primary |
| Social Worker | 104100000X | LSW3525 | TN |
Addresses
Primary practice location
205 Hospital Dr
Suite a
MC Kenzie, TN 38201-1649
Mailing address
205 Hospital Dr
Suite a
MC Kenzie, TN 38201-1649
Phone (731) 352-7907
Other practice location 1
205 Hospital Dr Ste C
Mc Kenzie, TN 38201-1649
Phone (731) 207-8560
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3380640 | Other | TN | GROUP MEDICAID |
| 3380640 | Other | TN | GROUP MEDICARE |
| 1522068 | Medicaid | TN |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251223000965 | TN | Practitioner - Marriage and Family Therapist | 8729268099 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McKenzie Medical Center PC
Practice addresses (Care Compare)
205 A Hospital Dr
MC Kenzie, TN 38201-2024
Phone (901) 352-7907
205 Hospital Dr
Suite a
MC Kenzie, TN 38201-2024
205 Hospital Dr
Suite C
MC Kenzie, TN 38201-1649
Phone (731) 352-7907
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT917 | TN | MD | Marriage & Family Therapist |
| 3525 | TN | MD | Pharmacist |
| 917 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKenzie Medical Center PC | Marriage & Family Therapist | Current | Accepting new patients |
| McKenzie Medical Center PC | Current | Accepting new patients |
Locations
30810 Broad St
Bruceton, TN 38317
Phone (731) 586-4800
306 Highway 641 N
Camden, TN 38320
Phone (731) 213-2344
811 Morrow St
Ste 207
Dresden, TN 38225
Phone (731) 364-4900
105 N Cedar St
Gleason, TN 38229
Phone (731) 648-5634
205 Hospital Dr
Ste C
Mc Kenzie, TN 38201
Phone (731) 207-8560
205 Hospital Dr
Ste A
Mc Kenzie, TN 38201
Phone 7313527907 ext. 429
205C Hospital Dr
Mc Kenzie, TN 38201
Phone (731) 352-0820
Organizations & group practices 10
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.
-
- Rural Health Clinic/Center
- MC Kenzie, TN
- NPI 1477516953
Marriage & Family Therapist
-
- Rural Health Clinic/Center
- MC Kenzie, TN
- NPI 1023611241
-
- Rural Health Clinic/Center
- Huntingdon, TN
- NPI 1144816901
-
- Rural Health Clinic/Center
- Bruceton, TN
- NPI 1245401231
-
- Rural Health Clinic/Center
- Gleason, TN
- NPI 1225083991
-
- Rural Health Clinic/Center
- Camden, TN
- NPI 1376188045
-
- Rural Health Clinic/Center
- Greenfield, TN
- NPI 1437040128
-
- Rural Health Clinic/Center
- Dresden, TN
- NPI 1609101534
-
- Clinic/Center
- McKenzie, TN
- NPI 1063242675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1194733089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 HOSPITAL DR",
"address_2": "SUITE A",
"city": "MC KENZIE",
"state": "TN",
"postal_code": "382011649",
"telephone_number": "731-352-7907",
"fax_number": "731-352-4459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 HOSPITAL DR",
"address_2": "SUITE A",
"city": "MC KENZIE",
"state": "TN",
"postal_code": "382011649",
"telephone_number": "731-352-7907",
"fax_number": "731-352-4459"
}
],
"practiceLocations": [
{
"address_1": "205 Hospital Dr Ste C",
"address_purpose": "LOCATION",
"city": "Mc Kenzie",
"state": "TN",
"postal_code": "382011649",
"country_code": "US",
"telephone_number": "731-207-8560",
"fax_number": "833-690-3848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "DAVID",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "MSW, LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TN",
"license": "LMFT917",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "LSW3525",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID",
"identifier": "3380640",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE",
"identifier": "3380640",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1522068",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in MC Kenzie, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.