Individual provider Active NPI

Tiffany Lee Johnson, APRN-CNP

  • Nurse Practitioner
  • Gahanna, OH
National Provider Identifier
1740899459
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0027014 Issued in OH
Practice address
701 Tech Center Dr
Gahanna, OH 43230-1987
Phone
(614) 396-2684
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0027014 OH
Nurse Practitioner 363L00000X APRN.CNP.0027014 OH Primary

Addresses

Primary practice location

701 Tech Center Dr
Gahanna, OH 43230-1987

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (740) 879-8141

Other practice location 1

371 Lafayette St
London, OH 43140-9326
Phone (740) 845-6735

Other practice location 2

101 E Main St
West Jefferson, OH 43162-1243
Phone (740) 879-8141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200929003507 OH Practitioner - Nurse Practitioner 7315366093 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel - Osu Physician Alliance LLCGroup PAC ID 2860617891, 16 clinicians
Osup Community Outreach LLCGroup PAC ID 5799008082, 147 clinicians

Practice addresses (Care Compare)

55 Park Ave
Suite 275
London, OH 43140-1294
Phone (740) 845-7500

6100 N Hamilton Rd
Westerville, OH 43081-2062
Phone (614) 293-4969

Hospital & facility affiliations

  • Madison Health Hospital, London, OH, CCN 360189

Merit-based Incentive Payment System (MIPS)

Final score
93.51 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
78.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0027014OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Urology Group, LLC CurrentSince Oct 25, 2021 Accepting new patients
Osup Community Outreach LLC CurrentSince Jun 1, 2024 Accepting new patients
Central Ohio Urology Group, LLC CurrentSince Oct 25, 2021 Accepting new patients
Mount Carmel - Osu Physician Alliance LLC CurrentSince May 4, 2022 Accepting new patients
Allergy and Asthma Center, Inc PastSince May 4, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Madison Family Health Corporation PastSince Nov 15, 2021 Accepting new patients

Locations

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

8200 Hazelton Etna Rd SW
Etna, OH 43062
Phone (614) 221-5189

701 Tech Center Dr
Ste 250
Gahanna, OH 43230

701 Tech Center Dr
Gahanna, OH 43230
Phone (614) 944-4806

371 Lafayette St
London, OH 43140
Phone (740) 845-6735

55 Park Ave
Ste 275
London, OH 43140
Phone (740) 845-7500

101 E Main St
West Jefferson, OH 43162
Phone (740) 879-8141

6100 N Hamilton Rd
Westerville, OH 43081
Phone (614) 814-8100

350 W Wilson Bridge Rd
Ste 100
Worthington, OH 43085
Phone (614) 268-2323

Interoperability endpoints

  • Direct secure messaging: tjohnson1040807@direct.osumc.edu
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

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": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1740899459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "740-879-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TECH CENTER DR",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301987",
            "telephone_number": "614-396-2684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "371 Lafayette St",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "OH",
            "postal_code": "431409326",
            "country_code": "US",
            "telephone_number": "740-845-6735",
            "fax_number": "740-845-6736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 E Main St",
            "address_purpose": "LOCATION",
            "city": "West Jefferson",
            "state": "OH",
            "postal_code": "431621243",
            "country_code": "US",
            "telephone_number": "740-879-8141",
            "fax_number": "614-879-9949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TIFFANY",
        "middle_name": "LEE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027014",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0027014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.