Mark Johnson, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

20344 Issued in TN

Practice address

278 Franklin Rd Ste 150
Brentwood, TN 37027-3265

Phone

(615) 506-0536

NPI assigned

Dec 1, 2018

Last updated

Dec 1, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Prolotherapy Nashville PLLC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Brentwood, TN
  • NPI 1144548579
  NPD (past) Authorized official

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

{
    "created_epoch": "1543622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543622400000",
    "number": "1427528546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 FRANKLIN RD STE 150",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273265",
            "telephone_number": "615-506-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 FRANKLIN RD STE 150",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273265",
            "telephone_number": "615-506-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-01",
        "last_updated": "2018-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "20344",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "20344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lynn Johnson
• Katelin Johnson
• Kendall Odell Johnson, PT
• Lacey Elizabeth Johnson, MMFT
• Malissa Marie Johnson
• Rhodona Kyle Johnson, CNIM
• Samuel Johnson, CPT, PN1, BCS, CES
• Sara Johnson
• Thomas Glenn Johnson, LMFT
• Trent Johnson, DC

• General Practice Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2018; 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.