Johnny S. Nowlin, PHYSICIAN ASSISTANT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0000000089 Issued in TN

Practice address

1224 Trotwood Ave
Columbia, TN 38401-4802

Phone

(931) 380-4017

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Maury Regional Medical Group, Inc

  • Family Medicine Physician
  • Columbia, TN
  • NPI 1205886264

  TN

  Medicare reassignment NPD
• Maury Regional Hospital Marshall Medical Center

  • Rural Health Clinic/Center
  • Spring Hill, TN
  • NPI 1548889850
  NPD
• Maury Regional Ambulatory Care Center Inc.

  • Family Medicine Physician
  • Columbia, TN
  • NPI 1336190214
  NPD (past)
• Maury Regional Hospital

  • Clinic/Center
  • Hohenwald, TN
  • NPI 1023038122
  NPD (past)
• Maury Regional Hospital Marshall Medical Center

  • Rural Health Clinic/Center
  • Columbia, TN
  • NPI 1700406881
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1689714271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 TANYARD HOLLOW RD",
            "city": "CULLEOKA",
            "state": "TN",
            "postal_code": "384512343",
            "telephone_number": "931-987-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 TROTWOOD AVE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014802",
            "telephone_number": "931-380-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWLIN",
        "first_name": "JOHNNY",
        "middle_name": "S.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "0000000089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36630821",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1505420",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3710089",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3732438",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4186410",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Nolan
• Theresa Norris, MSN
• Northland Hearing Center, Inc.
• Northside Medical Professionals, P.C.
• John Novak, PA
• Steven K Nowlin, DDS
• NPK Wellness & Beauty LLC
• Elizabeth Ann Null, M.D.
• Susan Kathleen O'Malley, LPC-MHSP
• Ariel Christine O'Neil, M.D.

• All providers in Columbia, TN
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.