Charlynn Johnson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

14948 Issued in TN

Practice address

80 Enoch Blvd
Savannah, TN 38372-2231

Phone

(731) 926-9600

Fax

(731) 926-9604

NPI assigned

Apr 30, 2010

Last updated

Mar 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Tennessee, HSC, College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scotts Hill Medical Clinic, IncGroup PAC ID 7113306929, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henderson County Community Hospital Hospital, Lexington, TN, CCN 440008

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charlynn.johnson.1@26260.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/26260/brand/1/csg/1/fhir/r4

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.

• Scotts Hill Medical Clinic, Inc

  • Family Medicine Physician
  • Scotts Hill, TN
  • NPI 1538805023
  Medicare reassignment Care Compare group NPD
• Hardin County General Hospital

  dba Hometown Healthcare

  • Rural Health Clinic/Center
  • Savannah, TN
  • NPI 1417875295
  NPD (past)
• Hardin County General Hospital

  dba Tennessee River Family Health

  • Rural Health Clinic/Center
  • Savannah, TN
  • NPI 1811710924
  NPD (past)

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

• Lexington Hospital Corporation

  dba Henderson County Community Hospital

  • General Acute Care Hospital
  • Lexington, TN
  • NPI 1255302923
  Care Compare affiliation

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1477870350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ENOCH BLVD",
            "address_2": "SUITE A",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383722231",
            "telephone_number": "731-926-4222",
            "fax_number": "731-926-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ENOCH BLVD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383722231",
            "telephone_number": "731-926-9600",
            "fax_number": "731-926-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHARLYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-30",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Jaco, B.S.
• Abby Elizabeth Jerrolds, NP
• Jerry D Rogers
• John D. Lay MD
• Amy Johnson, RDH
• Patrick Jones, OD
• Shadi M. Karabsheh, M.D.
• Anna E Kersey, PA
• Pattie Jean Kiddy, B.S.N.
• Carol Denise Kilburn, PT

• Family Nurse Practitioner in Savannah, TN
• Providers in Savannah, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.