Active NPI
Kathryn J Glass, MD
- Family Medicine Physician
- Martin, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 38858
- Practice address
- 143 Kennedy Dr
Martin, TN 38237-3309 - Phone
- (731) 587-5321
- Fax
- (731) 588-5909
- NPI assigned
- May 20, 2006
- Last updated
- Sep 21, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 38858 | TN | Primary |
Addresses
Primary practice location
143 Kennedy Dr
Martin, TN 38237-3309
Mailing address
143 Kennedy Dr
Martin, TN 38237-3309
Phone (731) 587-5321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q054494 | Medicaid | TN |
Other names 1
- Kathryn Leona Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1135 Broadway St
South Fulton, TN 38257-2835
Phone (731) 479-2606
143 Kennedy Dr
Martin, TN 38237-3309
Phone (731) 587-5321
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Health | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Martin Health | Family Medicine | Current | Accepting new patients |
| Martin Hospital Company LLC | Family Medicine | Past | Accepting new patients |
| Martin Health | Past | Accepting new patients |
Locations
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283
300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769
143 Kennedy Dr
Martin, TN 38237
Phone (731) 587-5321
1135 Broadway St
South Fulton, TN 38257
Phone (731) 479-2606
1135 Broadway St
Ste A
South Fulton, TN 38257
Phone (731) 479-2606
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- kglass27611@directepic.wth.org
Organizations & group practices 6
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.
-
dba West Tennessee Medical Group Hillview South Clinic
- Rural Health Clinic/Center
- South Fulton, TN
- NPI 1669876520
-
dba West Tennessee Medical Group Primary Care Martin
- Rural Health Clinic/Center
- Martin, TN
- NPI 1871034462
Family Medicine
-
dba West Tennessee Healthcare Volunteer Hospital
- General Acute Care Hospital
- Martin, TN
- NPI 1275505372
-
- Family Medicine Physician
- Martin, TN
- NPI 1083149629
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Union City, TN
- NPI 1114981768
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
-
dba West Tennessee Healthcare Volunteer Hospital
- General Acute Care Hospital
- Martin, TN
- NPI 1275505372
-
dba Tennessee Quality Care - Home Health Central
- Home Health Agency
- Parsons, TN
- NPI 1396702536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1679527923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 KENNEDY DR",
"city": "MARTIN",
"state": "TN",
"postal_code": "382373309",
"telephone_number": "731-587-5321",
"fax_number": "731-588-5909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 KENNEDY DR",
"city": "MARTIN",
"state": "TN",
"postal_code": "382373309",
"telephone_number": "731-587-5321",
"fax_number": "731-588-5909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "KATHRYN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "38858",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q054494",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "JOHNSON",
"middle_name": "LEONA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Martin, TN
- Generations Health Assoc.,Inc.Dba Generations Mental Health Center
- Generations Health Association
- Generations- Gaithers, Inc. (Generations Mental Health Center)
- Jacqueline Cultra Gilliam, PT
- Valerie Anna Gilliland, OTD/L
- Stefanie Lea Gray, APRN-BC
- Ashley Lynn Hall, LPN
- Rebecca Diane Hall, COTA/L
- David Martin Hamlin, PA-C
- Happy Teeth Pediatric Dentistry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.
- 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.