Individual provider Active NPI

James S Johnson, MD

  • Family Medicine Physician
  • Crossville, TN
National Provider Identifier
1851357578
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD30511 Issued in TN
Practice address
137 Obrien Dr Ste 101
Crossville, TN 38555-8751
Phone
(931) 484-2220
Fax
(931) 484-2225
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD30511 TN Primary

Addresses

Primary practice location

137 Obrien Dr Ste 101
Crossville, TN 38555-8751

Mailing address

137 Obrien Dr Ste 101
Crossville, TN 38555-8751
Phone (931) 484-2220

Other practice location 1

229 Interstate Dr
Suite 105
Crossville, TN 38555-2709
Phone (931) 484-2220

Other practice location 2

4147 Highway 127 N Ste 102
Crossville, TN 38571-7521
Phone (931) 484-2220

Other practice location 3

1720 West Ave Ste 1
Crossville, TN 38555-4066
Phone (931) 484-2220

Other identifiers 1

IdentifierTypeStateIssuer
3806366MedicaidTN

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
I20090623000461 TN Practitioner - Family Practice 1355492844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson Family Medicine LLCGroup PAC ID 6406156637, 5 clinicians

Practice addresses (Care Compare)

4147 Hwy 127 N
Suite 102
Crossville, TN 38571-7521
Phone (931) 484-2220

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD30511TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Family Medicine LLC Family Medicine CurrentSince Nov 2, 2015 Accepting new patients
Cumberland Medical Center, Inc Family Medicine Past Accepting new patients
Cumberland Physician Group, LLC PastSince Sep 10, 2023 Accepting new patients
Stacey B. Carlton, MD, PC Family Medicine Past Accepting new patients

Locations

137 Obrien Dr
Ste 101
Crossville, TN 38555
Phone (931) 484-2220

1720 West Ave
Ste 1
Crossville, TN 38555
Phone (931) 484-2220

137 Obrien Dr
Crossville, TN 38555
Phone (931) 484-2220

4147 Highway 127 N
Ste 102
Crossville, TN 38571
Phone (931) 456-1223

1720 West Ave
#1
Crossville, TN 38555

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEFCAD

Organizations & group practices 4

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 4

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1851357578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 OBRIEN DR STE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385558751",
            "telephone_number": "931-484-2220",
            "fax_number": "931-484-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 OBRIEN DR STE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385558751",
            "telephone_number": "931-484-2220",
            "fax_number": "931-484-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 Interstate Dr",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385552709",
            "country_code": "US",
            "telephone_number": "931-484-2220",
            "fax_number": "931-484-2225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4147 Highway 127 N Ste 102",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385717521",
            "country_code": "US",
            "telephone_number": "931-484-2220",
            "fax_number": "931-484-2225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 West Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385554066",
            "country_code": "US",
            "telephone_number": "931-484-2220",
            "fax_number": "931-484-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD30511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3806366",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

Verify at the official NPI Registry.