Individual provider Active NPI

Paul H. Johnson, M.D.

  • Orthopaedic Surgery Physician
  • Knoxville, TN
National Provider Identifier
1790752970
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD26983 Issued in TN
Practice address
629 Kenesaw Ave
Knoxville, TN 37919-6660
Phone
(865) 250-9420
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 26983 TN
Orthopaedic Surgery Physician 207X00000X MD26983 TN Primary

Addresses

Primary practice location

629 Kenesaw Ave
Knoxville, TN 37919-6660

Mailing address

629 Kenesaw Ave
Knoxville, TN 37919-6660
Phone (865) 250-9420

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
I20100428000540 TN Practitioner - Orthopedic Surgery 0547341539

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Northwestern University Feinberg Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3614 W Andrew Johnson Hwy
Morristown, TN 37814-3602
Phone (423) 586-9495

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
81.99
Promoting interoperability
100
Improvement activities
40
Cost
70.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26983TNMDPharmacist
MD26983TNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hovis Orthopaedic Clinic PC Orthopaedic Surgery Past Accepting new patients
Orthotennessee Past Accepting new patients
Orthotennessee, PC Orthopaedic Surgery Past Accepting new patients
Orthotennessee, PC Past Accepting new patients
Metro Knoxville Hma, LLC PastSince Jan 1, 2010 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: paul.johnson.p1@direct.orthotn.nextgenshare.com

Organizations & group practices 6

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1790752970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 KENESAW AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196660",
            "telephone_number": "865-250-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 KENESAW AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196660",
            "telephone_number": "865-250-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAUL",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TN",
            "license": "26983",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "MD26983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.