Johnson Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30511 Issued in TN

Legal business name

JOHNSON FAMILY MEDICINE LLC

Practice address

137 Obrien Dr Ste 101
Crossville, TN 38555-8751

Phone

(931) 484-2220

Fax

(931) 484-2220

NPI assigned

Sep 14, 2015

Last updated

Jun 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angel Suzanne Myrick

Title

Practice Manager

Phone

(931) 484-2220

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IEFCAD

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sheila R Blalock, APN

  • Nurse Practitioner
  • Crossville, TN
  • NPI 1952625030
  Medicare reassignment Care Compare group NPD
• Ashlyn Nichole Fowler, APN

  • Nurse Practitioner
  • Crossville, TN
  • NPI 1255153334

  Family

  Medicare reassignment Care Compare group NPD
• Yolanda Hohimer, APN, FNP-C

  • Primary Care Nurse Practitioner
  • Crossville, TN
  • NPI 1588114276
  Medicare reassignment Care Compare group NPD
• James S Johnson, MD

  • Family Medicine Physician
  • Crossville, TN
  • NPI 1851357578
  Medicare reassignment Care Compare group NPD
• Rebecca L Swafford, APN

  • Family Nurse Practitioner
  • Crossville, TN
  • NPI 1366020588
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1629446125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 OBRIEN DR STE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385558751",
            "telephone_number": "931-484-2220",
            "fax_number": "931-484-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 OBRIEN DR STE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385558751",
            "telephone_number": "931-484-2220",
            "fax_number": "931-484-2220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4147 Highway 127 N Ste 102",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385717521",
            "country_code": "US",
            "telephone_number": "931-484-2220",
            "fax_number": "931-484-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHNSON FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "MYRICK",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "931-484-2220"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "30511",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14809",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donathan M Ivey, MD
• Holly Ann Jackle, LCSW
• Tyler Justin Jensen, DPT
• John Smith Professional Pharmacy, Inc.
• Shannon Johns, SLP-CCC
• Deborah Ann Johnson, EDS LPC MHSP
• Grayson Banks Johnson, DC
• James S Johnson, MD
• Kimberly M Johnson, M.D.
• Robert Johnson, ATC

• Family Medicine Physician in Crossville, TN
• Providers in Crossville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.