Individual provider Active NPI

Tonya Miller Johnson, FNP

  • Family Nurse Practitioner
  • Millington, TN
National Provider Identifier
1760664445
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000011126 Issued in TN
Practice address
5722 Integrity Dr # S771
Millington, TN 38054-5028
Phone
(901) 874-6100
NPI assigned
Dec 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0000011126 TN Primary

Addresses

Primary practice location

5722 Integrity Dr # S771
Millington, TN 38054-5028

Mailing address

5722 Integrity Dr # S771
Millington, TN 38054-5028
Phone (901) 874-6100

Other names 1

  • Tonya Michelle Miller Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210603002279 TN Practitioner - Nurse Practitioner 3870627961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Mississippi School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harper Medical Group, PCGroup PAC ID 5799961850, 13 clinicians

Practice addresses (Care Compare)

5475 Poplar Ave
Suite 106
Memphis, TN 38119-3730
Phone (901) 254-8040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11126TNMDGeneral Practice Dentistry
0000011126TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Health Center, Inc. CurrentSince Apr 22, 2021 Accepting new patients
Memphis Health Center, Inc. CurrentSince Apr 22, 2021 Accepting new patients
Harper Medical Group, PC CurrentSince Oct 9, 2025 Accepting new patients

Locations

360 E Eh Crump Blvd
Memphis, TN 38126
Phone (901) 261-2000

5475 Poplar Ave
Ste 106
Memphis, TN 38119
Phone (901) 254-8040

233 E Emory Rd
Ste 111
Powell, TN 37849
Phone (865) 250-0135

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1760664445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5722 INTEGRITY DR # S771",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380545028",
            "telephone_number": "901-874-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5722 INTEGRITY DR # S771",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380545028",
            "telephone_number": "901-874-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TONYA",
        "middle_name": "MILLER",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000011126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONYA",
            "last_name": "MILLER",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Millington, TN

Sources for this page

Verify at the official NPI Registry.