Individual provider Active NPI

Scott R Johnson, M.D.

  • Family Medicine Physician
  • Jackson, TN
National Provider Identifier
1780638007
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD46687 Issued in TN
Practice address
2859 Highway 45 Byp
Jackson, TN 38305-3618
Phone
(731) 660-8360
Fax
(731) 660-8377
NPI assigned
May 20, 2006
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 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 Medicine Physician 207Q00000X MD46687 TN Primary
Sports Medicine (Family Medicine) Physician 207QS0010X MD46687 TN

Addresses

Primary practice location

2859 Highway 45 Byp
Jackson, TN 38305-3618

Mailing address

PO Box 400
Jackson, TN 38302-0400
Phone (731) 425-5752

Other practice location 1

2863 Highway 45 Byp
Jackson, TN 38305-3618
Phone (731) 422-0213

Other identifiers 1

IdentifierTypeStateIssuer
1521652MedicaidTN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101227000635 TN Practitioner - Family PracticePractitioner - Sports Medicine 8921296559 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Medical College of Georgia School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Clinic PAGroup PAC ID 2668376872, 171 clinicians

Practice addresses (Care Compare)

2859 Hwy 45 Byp
Jackson, TN 38305-3618
Phone (731) 664-1375

Merit-based Incentive Payment System (MIPS)

Final score
68.9 of 100Reported as group
Quality
45.42
Promoting interoperability
75
Improvement activities
40
Cost
71.75

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
74.15
Promoting interoperability
77
Improvement activities
40
Cost
78.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD46687TNMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC Family Medicine CurrentSince Dec 8, 2014 Accepting new patients
Jackson Clinic PA Family Medicine CurrentSince Dec 4, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 8, 2014 Accepting new patients
Jackson Clinic PA CurrentSince Dec 4, 2021 Accepting new patients
Carl W. Huff, MD, PC Orthopaedic Surgery Past Accepting new patients

Locations

715 E Main St
Ste A
Henderson, TN 38340
Phone (731) 435-1488

2859 Highway 45 Byp
Jackson, TN 38305
Phone (731) 660-8360

2863 Highway 45 Byp
Jackson, TN 38305
Phone (731) 664-1375

87 Murray Guard Dr
Ste B
Jackson, TN 38305
Phone (731) 664-1375

Interoperability endpoints

  • Direct secure messaging: scottjohnson@jcpa.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1780638007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383020400",
            "telephone_number": "731-425-5752",
            "fax_number": "731-256-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2859 HIGHWAY 45 BYP",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053618",
            "telephone_number": "731-660-8360",
            "fax_number": "731-660-8377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2863 Highway 45 Byp",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383053618",
            "country_code": "US",
            "telephone_number": "731-422-0213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SCOTT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD46687",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TN",
            "license": "MD46687",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521652",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.