Joe Breese Johnson Jr., M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

14652 Issued in TN

Practice address

1112 E Weisgarber Rd
Ste 201
Knoxville, TN 37909-2647

Phone

(865) 558-9862

Fax

(865) 584-3478

NPI assigned

Jun 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

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 and National Provider Directory roles.

• Summit Medical Group, PLLC

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1659090298
  Medicare reassignment NPD
• Summit Medical Group, PLLC

  • Internal Medicine Physician
  • Maryville, TN
  • NPI 1568541852
  NPD
• Knoxville Radiological Group Associated

  • Diagnostic Radiology Physician
  • Knoxville, TN
  • NPI 1881753044
  NPD (past)
• Tennessee Cancer Specialists PLLC

  • Hematology & Oncology Physician
  • Morristown, TN
  • NPI 1275681421
  NPD (past)
• Tennessee Cancer Specialists PLLC

  • Hematology & Oncology Physician
  • Knoxville, TN
  • NPI 1841228871
  NPD (past)

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1619974193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 E WEISGARBER RD",
            "address_2": "STE 201",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092647",
            "telephone_number": "865-558-9862",
            "fax_number": "865-584-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 E WEISGARBER RD",
            "address_2": "STE 201",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092647",
            "telephone_number": "865-558-9862",
            "fax_number": "865-584-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOE",
        "middle_name": "BREESE",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "14652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3193600",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3193601",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jens Johnson, M.D.
• Jessica Johnson, OPA
• Jessica Lauren Johnson, B.S.
• Jessica S Johnson, COTA/L
• Jessica Whiteherse Johnson, COTA/L
• Jonathan Johnson, MA
• Josh Johnson
• Joshua Ryan Johnson, M.D.
• Juanita Johnson
• Juliana Johnson

• Diagnostic Radiology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.