Individual provider Active NPI

Terence Edward Johnson, M.D.

  • Otolaryngology Physician
  • Knoxville, TN
National Provider Identifier
1508837535
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
W0427 Issued in TX
Practice address
1901 Clinch Ave
Knoxville, TN 37916-2307
Phone
(757) 953-2825
NPI assigned
Jan 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 81135 MN
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X C3344 KY
Otolaryngology Physician 207Y00000X 97589 GA
Otolaryngology Physician 207Y00000X 34923 TN
Otolaryngology Physician 207Y00000X W0427 TX Primary
Otolaryngology Physician 207Y00000X C3344 KY
Otolaryngology Physician 207Y00000X A064209 CA

Addresses

Primary practice location

1901 Clinch Ave
Knoxville, TN 37916-2307

Mailing address

500 Lakeway Lane
New Tazewell, TN 37825
Phone (858) 204-0448

Other practice location 1

1000 Breckenridge St Ste 303
Owensboro, KY 42303-0877
Phone (270) 688-2720

Other practice location 2

417 W 3rd Ave
Albany, GA 31701-1943
Phone (229) 312-5800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tjohnson129235@direct.owensborohealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SD, TX, MN, MI, IN6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20231207000318 GA Practitioner - Otolaryngology 5092795542 Reassigns benefits to 2 organizations
I20250604003305 SD Practitioner - Otolaryngology 5092795542 Reassigns benefits to 1 organization
I20250904005060 TX Practitioner - Otolaryngology 5092795542 Reassigns benefits to 1 organization
I20251217002442 MN Practitioner - Otolaryngology 5092795542 Reassigns benefits to 1 organization
I20251229001575 MI Practitioner - Otolaryngology 5092795542 Reassigns benefits to 1 organization
I20260209000433 IN Practitioner - Otolaryngology 5092795542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
New York Medical College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians
Sanford Health of Northern MinnesotaGroup PAC ID 5597725168, 349 clinicians
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900

151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800

151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882

151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100

151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159

1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000

1705 Anne St NW
Bemidji, MN 56601-6151
Phone (218) 333-5000

350 W Columbia St
Suite 310
Evansville, IN 47710-1782
Phone (812) 425-2646

417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5222

901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Sanford Bemidji Medical Center Hospital, Bemidji, MN, CCN 240100
  • Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007

Merit-based Incentive Payment System (MIPS)

Final score
96.72 of 100Reported as apm
Quality
84.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A064209CAMDOtolaryngology Physician
97589GAMDOtolaryngology Physician
C3344KYMDOtolaryngology Physician
81135MNMDOtolaryngology Physician
34923TNMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health of Northern Minnesota CurrentSince Dec 2, 2025 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Dec 17, 2024 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Dec 2, 2025 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Dec 30, 2024 Accepting new patients
Avera McKennan CurrentSince Apr 21, 2025 Accepting new patients
Deaconess Clinic Inc CurrentSince Jan 26, 2026 Accepting new patients
Acclaim Physician Group, Inc CurrentSince Aug 21, 2025 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Oct 14, 2023 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Jan 1, 2026 Accepting new patients
Deaconess Clinic, Inc Otolaryngology CurrentSince Jan 26, 2026 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Jan 1, 2026 Accepting new patients
Avera McKennan CurrentSince Apr 21, 2025 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Avera McKennan Current Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Oct 14, 2023 Accepting new patients
Owensboro Health Medical Group, Inc. CurrentSince Dec 17, 2024 Accepting new patients
Phoebe Putney Memorial Hospital, Inc. Past Accepting new patients
Phoebe Putney Memorial Hospital, Inc. Past Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

350 W Columbia St
Ste 310
Evansville, IN 47710
Phone (812) 425-2646

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

1000 Breckenridge St
Owensboro, KY 42303
Phone (270) 683-2751

1000 Breckenridge St
Ste 303
Owensboro, KY 42303
Phone (270) 685-2392

4069 Lake Dr SE
Ste 315
Grand Rapids, MI 49546
Phone (616) 267-7700

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

1705 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2035

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 20

Hospital & facility affiliations 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1508837535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LAKEWAY LANE",
            "city": "NEW TAZEWELL",
            "state": "TN",
            "postal_code": "37825",
            "telephone_number": "858-204-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 CLINCH AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162307",
            "telephone_number": "757-953-2825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Breckenridge St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423030877",
            "country_code": "US",
            "telephone_number": "270-688-2720",
            "fax_number": "270-688-2729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 W 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317011943",
            "country_code": "US",
            "telephone_number": "229-312-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TERENCE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "81135",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "KY",
            "license": "C3344",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "97589",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "34923",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "W0427",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "C3344",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A064209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tjohnson129235@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "1000 Breckenridge St Ste 303",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423030877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.