Adam Johnson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

33066 Issued in TN

Practice address

2103 Forest Dr Ste 5
Gray, TN 37615-8423

Phone

(423) 794-3142

NPI assigned

Nov 22, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

East Tennessee State University Quillen College of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Associated Pain Specialists, PCGroup PAC ID 7214167733, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012

Merit-based Incentive Payment System (MIPS)

Final score

80.3 of 100Reported as group

Quality

45.77

Improvement activities

40

Cost

75.4

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Associated Pain Specialists, PC

  • Pain Medicine Physician
  • Knoxville, TN
  • NPI 1487075099
  Medicare reassignment Care Compare group NPD
• Associated Pain Specialists, PC

  • Pain Medicine Physician
  • Morristown, TN
  • NPI 1679394514
  NPD
• Associated Pain Specialists, PC

  • Multi-Specialty Clinic/Center
  • Gray, TN
  • NPI 1760803324
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wellmont Health System

  • General Acute Care Hospital
  • Bristol, TN
  • NPI 1124058615
  Care Compare affiliation

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1891404539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 BORING CHAPEL RD",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376152943",
            "telephone_number": "423-833-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 FOREST DR STE 5",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376158423",
            "telephone_number": "423-794-3142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "436 Boring Chapel Rd",
            "address_purpose": "LOCATION",
            "city": "Gray",
            "state": "TN",
            "postal_code": "376152943",
            "country_code": "US",
            "telephone_number": "423-833-5549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-22",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "33066",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33066",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "164131",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Tyson Huff, PHARMD
• Jennifer Marie Ingle
• Anthony Jacaruso
• Wanda Jarrett, NP
• Jennifer Lee Jernigan
• Cassie Johnson, MS, RDN, LDN
• Lauren Johnson
• Rebecca Karen Johnston, P.T.
• K VA T Food Stores Inc
• Wendy Ann Kauffman

• Family Nurse Practitioner in Gray, TN
• Providers in Gray, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.

Verify at the official NPI Registry.