Ernest Kaye Johnson III, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

10912 Issued in TN

Practice address

1705 Windover Dr
Nashville, TN 37218-2410

Phone

(615) 276-4825

NPI assigned

Feb 1, 2007

Last updated

Jul 26, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Housecall Today, Inc

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1326217852
  Medicare reassignment NPD
• Infinity Resources Inc

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1629204037
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1497893556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 WINDOVER DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372182410",
            "telephone_number": "615-276-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 WINDOVER DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372182410",
            "telephone_number": "615-276-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERNEST",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "10912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "10912",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Jo Johnson
• Emma Johnson
• Emmanuel Johnson
• Erik Cole Johnson, LPC
• Erika Taylor Johnson
• Gibson Johnson Jr., DDS
• Harry Keith Johnson, M.D.
• Heath Stuart Johnson, PHARM D
• Jacquelin Michelle Johnson, MS, ATC
• James D Johnson, CST

• General Practice Physician in Nashville, TN
• Providers in Nashville, 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 Jul 26, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.