Susan Elaine Johnston, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD42540 Issued in TN

Practice address

1272 Garrison Dr
Murfreesboro, TN 37129-2598

Phone

(615) 893-4480

Fax

(615) 867-8182

NPI assigned

Mar 9, 2006

Last updated

Jun 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meharry Health Network, PC

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1942839147
  Medicare reassignment NPD
• Murfreesboro Medical Clinic, P.a.

  • Specialist
  • Murfreesboro, TN
  • NPI 1487604609
  Medicare reassignment NPD
• Meharry Health Network, PC

  • Urgent Care Clinic/Center
  • Nashville, TN
  • NPI 1902425234
  NPD
• Murfreesboro Medical Clinic, P.a.

  dba Endoscopy Center of Murfreesboro Medical Clinic

  • Endoscopy Clinic/Center
  • Murfreesboro, TN
  • NPI 1013782499
  NPD
• Murfreesboro Medical Clinic, P.a.

  • Specialist
  • Murfreesboro, TN
  • NPI 1639299803
  NPD

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1912975566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 GARRISON DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292598",
            "telephone_number": "615-893-4480",
            "fax_number": "615-867-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 GARRISON DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292598",
            "telephone_number": "615-893-4480",
            "fax_number": "615-867-8182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 N Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371302454",
            "country_code": "US",
            "telephone_number": "615-893-4480",
            "fax_number": "615-867-8182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "SUSAN",
        "middle_name": "ELAINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD42540",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "15521",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00120828",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Johnson
• Summer Johnson
• Travis M. Johnson, O.D.
• Warren T. Johnson, D.D.S.,P.C.
• Lorie Johnston
• Anita F. Joiner, RN
• Jolie Medical Supply Inc
• Casey Jolly, LSCW-A
• Katherine A Jonas, LPC
• Jones Therapy Services LLC (Associates in Pediatric Therapy)

• Pediatrics Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.