Kavin J Johnson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

21478 Issued in TN

Practice address

9029 Hiwassee St NW
Charleston, TN 37310-5305

Phone

(423) 665-9026

Fax

(423) 584-6747

NPI assigned

Jul 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/sperohealth/r4/

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.

• Spero Health of Tennessee, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Smyrna, TN
  • NPI 1538628904
  Medicare reassignment NPD
• Chattanooga Primary Care of Hypertension & Diabetes

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1255750261
  NPD Authorized official
• Cleveland Medical Clinic Inc

  • Orthopaedic Surgery of the Spine Physician
  • Cleveland, TN
  • NPI 1457350951

  Internal Medicine

  NPD (past)
• Trilogy Integrated Health Care, Inc. of Georgia

  dba Dayton Family Health and Urgent Care Clinic

  • Rural Health Clinic/Center
  • Dayton, TN
  • NPI 1053362921
  NPD (past)
• Trilogy Integrated Health Care, Inc. of Georgia

  dba Jasper Family Health and Urgent Care Clinic

  • Rural Health Clinic/Center
  • Jasper, GA
  • NPI 1235181322
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1689673105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9029 HIWASSEE ST NW",
            "city": "CHARLESTON",
            "state": "TN",
            "postal_code": "373105305",
            "telephone_number": "423-665-9026",
            "fax_number": "423-584-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9029 HIWASSEE ST NW",
            "city": "CHARLESTON",
            "state": "TN",
            "postal_code": "373105305",
            "telephone_number": "423-665-9026",
            "fax_number": "423-584-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAVIN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "21478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athens Physicians Practice LLC (Starr Convenient Care - Charleston)
• Eugene Baker, DPH
• Katelyn Cantrell
• James Clifton Griffin, RPH
• Keith L Kidd, FNP-BC
• Deloyn L McDonough, PA-C
• Danny Ray Nelson, NP-C
• Thomas Odom
• Preferred Family Medical Care LLC

• Internal Medicine Physician in Charleston, TN
• Providers in Charleston, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.