Active NPI
Mekeilah Nevaun Johnson, APRN, FNP-BC, FNP-C
- Family Nurse Practitioner
- Bartlett, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26203
- Practice address
- 3082 Kirby Whitten Road
Bartlett, TN 38134 - Phone
- (901) 250-9080
- NPI assigned
- Jul 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26203 | TN | Primary |
Addresses
Primary practice location
3082 Kirby Whitten Road
Bartlett, TN 38134
Mailing address
PO Box 34834
Memphis, TN 38184-0834
Phone (901) 236-6564
Other practice location 1
6005 Park Ave Ste 825B
Memphis, TN 38119-5223
Phone (901) 250-9080
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200129002584 | TN | Practitioner - Nurse Practitioner | 3971939562 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fast Pace Medical Clinic PLLC
Practice addresses (Care Compare)
100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients |
Locations
3082 Kirby Whitten Rd
Bartlett, TN 38134
Phone (901) 250-9080
7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038
108 Courtright Rd
Martin, TN 38237
Phone (731) 281-4183
Organizations & group practices 18
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.
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Urgent Care Clinic/Center
- Lincoln, AL
- NPI 1023773322
-
- Rural Health Clinic/Center
- Jackson, AL
- NPI 1033890132
-
- Rural Health Clinic/Center
- Lincoln, AL
- NPI 1043975345
-
- Rural Health Clinic/Center
- Sylacauga, AL
- NPI 1043975402
-
- Rural Health Clinic/Center
- Clanton, AL
- NPI 1215761341
-
- Rural Health Clinic/Center
- Enterprise, AL
- NPI 1265114094
-
- Rural Health Clinic/Center
- Centerville, AL
- NPI 1336804772
-
- Family Medicine Physician
- Florence, AL
- NPI 1639679962
-
- Family Medicine Physician
- Hanover, IN
- NPI 1649770769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1881247740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34834",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381840834",
"telephone_number": "901-236-6564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3082 KIRBY WHITTEN ROAD",
"city": "BARTLETT",
"state": "TN",
"postal_code": "38134",
"telephone_number": "901-250-9080"
}
],
"practiceLocations": [
{
"address_1": "6005 Park Ave Ste 825B",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381195223",
"country_code": "US",
"telephone_number": "901-250-9080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "MEKEILAH",
"middle_name": "NEVAUN",
"credential": "APRN, FNP-BC, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-19",
"last_updated": "2024-12-11",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "26203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.