Individual provider Active NPI

William S Johnson, MD

  • Pediatrics Physician
  • Hendersonville, TN
National Provider Identifier
1386797157
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD31926 Issued in TN
Practice address
100 Springhouse CT
Suite 100
Hendersonville, TN 37075-1609
Phone
(615) 826-2080
Fax
(615) 822-3213
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD31926 TN Primary

Addresses

Primary practice location

100 Springhouse CT
Suite 100
Hendersonville, TN 37075-1609

Mailing address

100 Springhouse CT
Suite 100
Hendersonville, TN 37075-1609
Phone (615) 826-2080

Other identifiers 1

IdentifierTypeStateIssuer
5440058MedicaidTN

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
I20140404001888 TN Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3971735986

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD31926TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Winston Clinic, P.a. Past Accepting new patients
Tennessee Pediatrics P.C. Pediatrics Past Accepting new patients
Grace Pediatrics PLLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12020/brand/1/csg/1/fhir/r4
  • Direct secure messaging: william.johnson@tnpeds.eclinicaldirectplus.com
  • Direct secure messaging: william.johnson.1@31800.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1386797157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPRINGHOUSE CT",
            "address_2": "SUITE 100",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751609",
            "telephone_number": "615-826-2080",
            "fax_number": "615-822-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPRINGHOUSE CT",
            "address_2": "SUITE 100",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751609",
            "telephone_number": "615-826-2080",
            "fax_number": "615-822-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WILLIAM",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD31926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5440058",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.