Johnson Clinic of Covington, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD11374 Issued in TN

Legal business name

JOHNSON CLINIC OF COVINGTON, INC

Practice address

4235 Highway 51 S
Brighton, TN 38011-6921

Phone

(901) 475-4752

Fax

(901) 475-1554

NPI assigned

Jun 8, 2011

Last updated

Jun 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel T. Johnson Sr., M.D.

Title

Medical Director

Phone

(901) 475-4752

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1376837260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 507",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380190507",
            "telephone_number": "901-475-4752",
            "fax_number": "901-475-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 HIGHWAY 51 S",
            "city": "BRIGHTON",
            "state": "TN",
            "postal_code": "380116921",
            "telephone_number": "901-475-4752",
            "fax_number": "901-475-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CLINIC OF COVINGTON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "901-475-4752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD11374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J.J. Cannon M.D. P.C. (Dr. Jesse Cannon Jr.)
• Delma Jaroszewicz
• Michael Dalen Jaureque
• Laura Elaine Jeffords
• Ashley L Jenkins, PMHNP-BC
• Elizabeth Michelle Jones
• Loretta Isabel Laughter, RBT
• Braden Leggett, RBT
• Lillie McDaniel, PT, DPT
• Nathan Dee Merritt, LICSW

• Family Medicine Physician in Brighton, TN
• Providers in Brighton, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.