Individual provider Active NPI

Melanie Linda Johnson, FNP

  • Family Nurse Practitioner
  • Powell, TN
National Provider Identifier
1629004346
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11601 Issued in TN
Practice address
7565 Dannaher Dr
Powell, TN 37849-4029
Phone
(865) 859-8000
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 29318 SC
Family Nurse Practitioner 363LF0000X 11601 TN Primary

Addresses

Primary practice location

7565 Dannaher Dr
Powell, TN 37849-4029

Mailing address

629 Kenesaw Ave
Knoxville, TN 37919-6660
Phone (865) 250-3405

Other practice location 1

1120 E Weisgarber Rd
Suite 104
Knoxville, TN 37909-2685
Phone (865) 909-0090

Other identifiers 1

IdentifierTypeStateIssuer
3641091MedicaidTN

Other names 1

  • Melanie Linda Dodson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, SC, FL, NC, VA, AL6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20050826000888 TN Practitioner - Nurse Practitioner 9335170513 Reassigns benefits to 5 organizations
I20241217004333 SC Practitioner - Nurse Practitioner 9335170513 Reassigns benefits to 1 organization
I20250205001618 FL Practitioner - Nurse Practitioner 9335170513 Reassigns benefits to 1 organization
I20250331000206 NC Practitioner - Nurse Practitioner 9335170513 Reassigns benefits to 2 organizations
I20250603003636 VA Practitioner - Nurse Practitioner 9335170513 Reassigns benefits to 1 organization
I20250827003495 AL Practitioner - Nurse Practitioner 9335170513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians
Hospital Medicine Associates LLCGroup PAC ID 9234156985, 208 clinicians
Southeastern Intensivist Services PCGroup PAC ID 9335152107, 234 clinicians

Practice addresses (Care Compare)

1201 Bishop St
Union City, TN 38261-5403
Phone (731) 885-2410

226 Fencerail Gap
Walland, TN 37886-2510
Phone (800) 424-3672

2305 Chambliss Ave NW
Cleveland, TN 37311-3847
Phone (423) 559-6000

50 Medical Park Dr E
Birmingham, AL 35235-3401
Phone (205) 838-3000

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-1111

7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 320-3911

Hospital & facility affiliations

  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • Affiliate of Vitruvian Health Hospital, Cleveland, TN, CCN 440185
  • Blue Ridge Regional Hospital Hospital, Spruce Pine, NC, CCN 341329
  • St Vincent'S Birmingham Hospital, Birmingham, AL, CCN 010056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
29318SCMDFamily Nurse Practitioner
11601TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee HM, PLLC CurrentSince Sep 2, 2019 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Jan 1, 2025 Accepting new patients
Hospital Physician Services of Florida PA CurrentSince Jan 1, 2025 Accepting new patients
Salahuddin Syed MD PC Current Accepting new patients
Summit Medical Group, PLLC CurrentSince Jun 1, 2008 Accepting new patients
Statcare Inpatient LLC CurrentSince Jul 1, 2017 Accepting new patients
Southeastern Physician Services PC CurrentSince Aug 1, 2023 Accepting new patients
Southeastern Intensivist Services PC CurrentSince Jun 1, 2025 Accepting new patients
Southeastern Medical Group, PC CurrentSince Jan 1, 2025 Accepting new patients
Hospital Medicine Associates LLC CurrentSince Jun 13, 2025 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jun 1, 2008 Accepting new patients
Southeastern Emergency Physicians LLC CurrentSince Nov 1, 2024 Accepting new patients
Southeastern Hospitalist Services PC CurrentSince Jan 1, 2025 Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

260 Hospital Dr
Brevard, NC 28712
Phone (828) 883-5286

190 Hospital Dr
Highlands, NC 28741
Phone (828) 213-9530

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

5050 Highway 17 Byp S
Myrtle Beach, SC 29588
Phone (843) 449-6521

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

200 E Blount Ave
Ste 303
Knoxville, TN 37920
Phone (865) 577-9247

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1120 E Weisgarber Rd
Ste 104
Knoxville, TN 37909
Phone 8655844747219

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

Organizations & group practices 13

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 13

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1629004346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 KENESAW AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196660",
            "telephone_number": "865-250-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7565 DANNAHER DR",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378494029",
            "telephone_number": "865-859-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 E Weisgarber Rd",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379092685",
            "country_code": "US",
            "telephone_number": "865-909-0090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELANIE",
        "middle_name": "LINDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "29318",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "11601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3641091",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "DODSON",
            "middle_name": "LINDA",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Powell, TN

Sources for this page

Verify at the official NPI Registry.