Individual provider Active NPI

Kevin Brandt Johnson, DO

  • General Practice Physician
  • Morristown, TN
National Provider Identifier
1598826349
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2434 Issued in TN
Practice address
230 Bowman St Ste C
Morristown, TN 37813-3871
Phone
(423) 586-3249
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 03105 KY
Family Medicine Physician 207Q00000X 02434 TN
General Practice Physician 208D00000X 2434 TN Primary
Family Medicine Physician 207Q00000X R1276 KY

Addresses

Primary practice location

230 Bowman St Ste C
Morristown, TN 37813-3871

Mailing address

230 Bowman St Ste C
Morristown, TN 37813-3871
Phone (423) 586-3249

Other identifiers 2

IdentifierTypeStateIssuer
Q059168MedicaidTN
7100003850MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070706000516 KY Practitioner - Family PracticePractitioner - Emergency Medicine 6608976527 Reassigns benefits to 3 organizations
I20201125002592 TN Practitioner - Family Practice 6608976527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Revida Recovery Centers PCGroup PAC ID 1153657473, 28 clinicians
Crossroads Treatment Centers of Tennessee, PCGroup PAC ID 6204262025, 31 clinicians

Practice addresses (Care Compare)

2001 Highland Ave
Knoxville, TN 37916-1217
Phone (865) 633-0353

230 Bowman St
Morristown, TN 37813-3871
Phone (800) 805-6989

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03105KYMDFamily Medicine Physician
R1276KYMDFamily Medicine Physician
02434TNMDFamily Medicine Physician
2434TNMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Treatment Centers of Tennessee, PC CurrentSince Mar 1, 2026 Accepting new patients
Eastern Kentucky Tender Care Pediatrics LLC CurrentSince Jul 23, 2016 Accepting new patients
Albaree Health Services LLC Family Medicine CurrentSince Aug 30, 2017 Accepting new patients
Crossroads Treatment Centers of Tennessee, P.C. CurrentSince Mar 1, 2026 Accepting new patients
Primary Care of the Bluegrass, LLC CurrentSince Apr 1, 2012 Accepting new patients
Revida Recovery Centers, PC CurrentSince Nov 4, 2020 Accepting new patients
Marshall Emergency Services Associates, PLLC Past Accepting new patients
Frontier Medical Associates of Paintsville Inc Past Accepting new patients

Locations

29 Main St
Crab Orchard, KY 40419
Phone (606) 355-7300

1055 Wellington Way
Ste 275
Lexington, KY 40513

1031 Wellington Way
Ste 240
Lexington, KY 40513

400 University Dr
Ste 101
Prestonsburg, KY 41653
Phone (606) 886-1173

900 Tom Frazier Way
#200
Salyersville, KY 41465
Phone (606) 349-8100

842 E Mountain Pkwy
Salyersville, KY 41465
Phone (606) 349-8100

4140 Thornton Taylor Pkwy
Ste D
Fayetteville, TN 37334
Phone (931) 434-8109

712 Professional Plaza Dr
Greeneville, TN 37745
Phone (423) 820-0432

5870 Highway 153
Ste 122
Hixson, TN 37343
Phone (423) 243-3342

5864 Highway 153
Ste 112
Hixson, TN 37343
Phone (423) 243-3342

114 Perkins Ln
Jacksboro, TN 37757
Phone (864) 436-7266

3114 Browns Mill Rd
Johnson City, TN 37604
Phone (423) 282-5611

2001 Highland Ave
Knoxville, TN 37916
Phone (865) 633-0353

2911 Essary Dr
Ste 200
Knoxville, TN 37918
Phone (865) 371-8101

230 Bowman St
Ste C
Morristown, TN 37813
Phone (423) 586-3249

230 Bowman St
Morristown, TN 37813
Phone (423) 586-1356

400 Overbeck Ln
Ste 201
Nashville, TN 37204

3322 West End Ave
Ste 350
Nashville, TN 37203

330 Heritage Blvd
Newport, TN 37821
Phone (423) 623-7043

106 Administration Rd
Ste 3
Oak Ridge, TN 37830
Phone (865) 276-6212

161 Mose Dr
Sparta, TN 38583
Phone (931) 222-0139

127 Ledford Mill Rd
Tullahoma, TN 37388
Phone (931) 841-3311

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1598826349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BOWMAN ST STE C",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378133871",
            "telephone_number": "423-586-3249",
            "fax_number": "423-586-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BOWMAN ST STE C",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378133871",
            "telephone_number": "423-586-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEVIN",
        "middle_name": "BRANDT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "03105",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "02434",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "2434",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "R1276",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q059168",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100003850",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.