Robert Johnson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2511 Issued in TN

Practice address

115 Cumberland PLZ
Crossville, TN 38555-4292

Phone

(931) 787-1244

Fax

(931) 787-1245

NPI assigned

Jun 7, 2019

Last updated

Aug 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1710546338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214915",
            "telephone_number": "423-238-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CUMBERLAND PLZ",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554292",
            "telephone_number": "931-787-1244",
            "fax_number": "931-787-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-07",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "2511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnson Family Medicine LLC
• Deborah Ann Johnson, EDS LPC MHSP
• Grayson Banks Johnson, DC
• James S Johnson, MD
• Kimberly M Johnson, M.D.
• William Johnson, DPT
• Jon Alan Simpson (Cumberland Orthopaedics)
• Aily Jones, PHARMD
• Laura A Jones, IBCLC
• Lisa Payne Jones, MD

• Athletic Trainer in Crossville, TN
• Providers in Crossville, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.