Individual provider Active NPI

Cheri Conley Johnston, M.D.

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1639186455
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD017443 Issued in TN
Practice address
10810 Parkside Dr Ste 108
Knoxville, TN 37934-1980
Phone
(865) 647-3650
Fax
(865) 647-3659
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD017443 TN Primary

Addresses

Primary practice location

10810 Parkside Dr Ste 108
Knoxville, TN 37934-1980

Mailing address

10810 Parkside Drive
Suite 108
Knoxville, TN 37934
Phone (865) 647-3650

Other identifiers 1

IdentifierTypeStateIssuer
1513775MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cheri.johnston.1@4694.direct.athenahealth.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050401000204 TN Practitioner - Family Practice 8628025608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Knoxville Hma Physician Management, LLCGroup PAC ID 6103097316, 118 clinicians

Practice addresses (Care Compare)

10800 Parkside Dr
Knoxville, TN 37934-1922

10810 Parkside Dr
Knoxville, TN 37934-1981

Hospital & facility affiliations

  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125
  • Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034
  • Fort Loudoun Medical Center Hospital, Lenoir City, TN, CCN 440110
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD017443TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Hma Physician Management, LLC CurrentSince Oct 1, 2011 Accepting new patients
Covenant Medical Group, Inc Family Medicine Past Accepting new patients
Familycare Specialists PC Family Medicine Past Accepting new patients

Locations

101 E Blount Ave
Ste 650
Knoxville, TN 37920
Phone (865) 632-5058

10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660

10800 Parkside Dr
Ste 330
Knoxville, TN 37934
Phone (865) 218-7444

10810 Parkside Dr
Ste 108
Knoxville, TN 37934
Phone (423) 728-1650

10810 Parkside Dr
Ste G-9
Knoxville, TN 37934
Phone (865) 218-6085

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
  • Direct secure messaging: cheri.johnston.1@4694.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639186455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DRIVE",
            "address_2": "SUITE 108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37934",
            "telephone_number": "865-647-3650",
            "fax_number": "865-647-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR STE 108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341980",
            "telephone_number": "865-647-3650",
            "fax_number": "865-647-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "CHERI",
        "middle_name": "CONLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD017443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513775",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cheri.johnston.1@4694.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "10810 Parkside Dr Ste 108",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379341980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.