Individual provider Active NPI

Tiffany Johnson, FNP-C

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1679024293
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000179854 Issued in TN
Practice address
3443 Dickerson Pike Ste 370
Nashville, TN 37207-2535
Phone
(615) 769-2799
Fax
(615) 769-2798
NPI assigned
Oct 19, 2016
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 179854 TN
Family Nurse Practitioner 363LF0000X 0000179854 TN Primary

Addresses

Primary practice location

3443 Dickerson Pike Ste 370
Nashville, TN 37207-2535

Mailing address

3443 Dickerson Pike Ste 370
Nashville, TN 37207-2535
Phone (615) 769-2799

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161123000867 TN Practitioner - Nurse Practitioner 2365721958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skyline Medical Group LLCGroup PAC ID 6709885189, 43 clinicians

Practice addresses (Care Compare)

3441 Dickerson Pike
Nashville, TN 37207-2539
Phone (615) 234-6426

3443 Dickerson Pike
Suite G30
Nashville, TN 37207-2541
Phone (615) 769-2799

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.74 of 100Reported as group
Quality
69.38
Promoting interoperability
100
Improvement activities
40
Cost
69.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
179854TNMDNurse Practitioner
0000179854TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skyline Medical Group LLC Family CurrentSince Nov 12, 2023 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3441 Dickerson Pike
Nashville, TN 37207
Phone (615) 234-6426

3443 Dickerson Pike
Ste 370
Nashville, TN 37207
Phone (615) 769-2799

3443 Dickerson Pike
Ste G30
Nashville, TN 37207
Phone (615) 234-6390

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1679024293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 370",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072535",
            "telephone_number": "615-769-2799",
            "fax_number": "615-769-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 370",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072535",
            "telephone_number": "615-769-2799",
            "fax_number": "615-769-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TIFFANY",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "179854",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000179854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.