Individual provider Active NPI

Jeffrey Johnson, M.D.

  • Cardiovascular Disease Physician
  • Knoxville, TN
National Provider Identifier
1285635961
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
19766 Issued in TN
Practice address
1940 Alcoa Hwy
Suite E-310
Knoxville, TN 37920-2244
Phone
(865) 544-2800
Fax
(865) 544-6812
NPI assigned
Aug 3, 2005
Last updated
Nov 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 19766 TN Primary

Addresses

Primary practice location

1940 Alcoa Hwy
Suite E-310
Knoxville, TN 37920-2244

Mailing address

1940 Alcoa Hwy
Suite E-310
Knoxville, TN 37920-2244
Phone (865) 544-2800

Other identifiers 1

IdentifierTypeStateIssuer
3046395MedicaidTN

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040630000823 TN Practitioner - Cardiovascular Disease (Cardiology) 8527045392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Tennessee, HSC, College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1130 Middle Creek Rd
Sevierville, TN 37862-3051

1924 Alcoa Hwy
Knoxville, TN 37920-1511

1928 Alcoa Hwy
Suite B100
Knoxville, TN 37920-1506
Phone (865) 305-6333

1928 Alcoa Hwy 102
Knoxville, TN 37920-1506
Phone (865) 305-6640

1928 Alcoa Hwy S 102
Knoxville, TN 37920-1506
Phone (865) 544-6740

1940 Alcoa Hwy
Suite E310
Knoxville, TN 37920-2267
Phone (865) 544-2800

2681 Andersonville Hwy
Suite 102
Clinton, TN 37716-6706
Phone (865) 494-5960

304 Church St
Sweetwater, TN 37874-2823
Phone (865) 544-2800

5779 Creekwood Park Blvd
Lenoir City, TN 37772-1203

7326 Maynardville Pike
Knoxville, TN 37938-3717

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19766TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Jan 1, 2020 Accepting new patients
Knoxville Cardiovascular Group PC Cardiovascular Disease Current Accepting new patients
University Health System, Inc Current Accepting new patients
University Health System Inc Cardiovascular Disease CurrentSince Jan 1, 2020 Accepting new patients
University Health System, Inc Past Accepting new patients

Locations

2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960

657 E Broadway Blvd
Jefferson Cty, TN 37760
Phone (865) 262-9777

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

1928 Alcoa Hwy
Ste 100
Knoxville, TN 37920
Phone (865) 305-6570

1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 544-6570

1940 Alcoa Hwy
Ste 310
Knoxville, TN 37920
Phone 8655442800149

1940 Alcoa Hwy
Ste E310
Knoxville, TN 37920
Phone (865) 544-4280

109 Independence Ln
Ste 500
La Follette, TN 37766
Phone (423) 562-9744

1130 Middle Creek Rd
Ste 220
Sevierville, TN 37862

304 Church St
Sweetwater, TN 37874
Phone (865) 213-8200

6232 W Andrew Johnson Hwy
Ste 2700
Talbott, TN 37877
Phone (423) 690-3455

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1285635961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY",
            "address_2": "SUITE E-310",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202244",
            "telephone_number": "865-544-2800",
            "fax_number": "865-544-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY",
            "address_2": "SUITE E-310",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202244",
            "telephone_number": "865-544-2800",
            "fax_number": "865-544-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "19766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3046395",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.