Individual provider Active NPI

Jenna-Lyn Johnson, MD

  • Cardiovascular Disease Physician
  • Dickson, TN
National Provider Identifier
1861879744
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
85677 Issued in SC
Practice address
111 Highway 70 E Ste G
Dickson, TN 37055-2080
Phone
(803) 744-4900
Fax
(803) 744-4935
NPI assigned
Apr 30, 2015
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 85677 SC Primary
Student in an Organized Health Care Education/Training Program 390200000X 0116028086 VA

Addresses

Primary practice location

111 Highway 70 E Ste G
Dickson, TN 37055-2080

Mailing address

1924 Alcoa Hwy # U114
Knoxville, TN 37920-1511
Phone (865) 305-6324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210524000085 SC Practitioner - Cardiovascular Disease (Cardiology) 0840504791 Reassigns benefits to 1 organization
I20221221000099 TN Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 0840504791 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Medical University of South Carolina College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HMC Physician ServicesGroup PAC ID 4981889862, 17 clinicians

Practice addresses (Care Compare)

935 Wayne Rd
Suite B
Savannah, TN 38372-1919
Phone (731) 926-8373

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Cardiovascular Disease CurrentSince Jul 1, 2021 Accepting new patients
Centennial Heart LLC Cardiovascular Disease CurrentSince Jan 5, 2026 Accepting new patients
Saint Thomas Medical Partners Cardiovascular Disease CurrentSince Jan 1, 2023 Accepting new patients
Lexington Health Inc Current Accepting new patients
Lexington Health Inc CurrentSince Jul 1, 2021 Accepting new patients

Locations

3016 Longtown Commons Dr
Ste 300
Columbia, SC 29229

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

2728 Sunset Blvd
Ste 300
West Columbia, SC 29169
Phone (803) 744-4940

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

111 Highway 70 E
Ste G
Dickson, TN 37055
Phone (615) 343-6900

2400 Patterson St
Ste 103
Nashville, TN 37203
Phone (615) 329-0929

300 20th Ave N
Fl 9
Nashville, TN 37203

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

301 21st Ave N
Nashville, TN 37203
Phone (615) 329-5144

935 Wayne Rd
Ste B
Savannah, TN 38372
Phone (731) 926-8373

Interoperability endpoints

  • Direct secure messaging: jenna-lyn.johnson.1@7654.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1861879744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY # U114",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-6324",
            "fax_number": "865-305-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HIGHWAY 70 E STE G",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552080",
            "telephone_number": "803-744-4900",
            "fax_number": "803-744-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNA-LYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "85677",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116028086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

Verify at the official NPI Registry.