Organization Active NPI

Gerald E Johnson MD PLLC

Doing business as All Heart Pediatric Cardiology

  • Pediatric Cardiology Physician
  • Chattanooga, TN
National Provider Identifier
1316459829
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
32248 Issued in TN
Legal business name
GERALD E JOHNSON MD PLLC
Doing business as
All Heart Pediatric Cardiology
Practice address
6142 Shallowford Rd Ste 103
Chattanooga, TN 37421-7216
Phone
(423) 498-3300
Fax
(423) 498-3301
NPI assigned
Oct 25, 2017
Last updated
Jan 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Authorized official

Name
Mrs. Catharine Johnson, RN
Title
RN/Office Manager
Phone
(423) 498-3870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 32248 TN Primary

Addresses

Primary practice location

6142 Shallowford Rd Ste 103
Chattanooga, TN 37421-7216

Mailing address

6142 Shallowford Rd Ste 103
Chattanooga, TN 37421-7216
Phone (423) 498-3300

Other names 1

  • All Heart Pediatric Cardiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180213003177 TN Part B Supplier - Clinic/Group Practice 3274891833 Receives reassigned benefits from 1 practitioner
Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Locations

6148 Lee Hwy
Ste 120
Chattanooga, TN 37421
Phone (423) 498-3300

6148 Lee Hwy
Ste 206
Chattanooga, TN 37421
Phone (423) 498-3300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1316459829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6142 SHALLOWFORD RD STE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217216",
            "telephone_number": "423-498-3300",
            "fax_number": "423-498-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6142 SHALLOWFORD RD STE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217216",
            "telephone_number": "423-498-3300",
            "fax_number": "423-498-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD E JOHNSON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CATHARINE",
        "authorized_official_title_or_position": "RN/OFFICE MANAGER",
        "authorized_official_telephone_number": "423-498-3870",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TN",
            "license": "32248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Heart Pediatric Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.