Individual provider Active NPI

Tammy Renae Johnson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bartlett, TN
National Provider Identifier
1922707306
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
33476 Issued in TN
Practice address
7556 US Highway 70
Bartlett, TN 38133-2686
Phone
(901) 552-3497
Fax
(574) 635-9228
NPI assigned
Feb 24, 2023
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 33476 TN Primary

Addresses

Primary practice location

7556 US Highway 70
Bartlett, TN 38133-2686

Mailing address

1926 Bear Creek Rd
Parsons, TN 38363-5256
Phone (731) 733-0780

Other identifiers 1

IdentifierTypeStateIssuer
Q087243MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831003704 TN Practitioner - Nurse Practitioner 1759744196 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipc Pac Healthcare Services of Tennessee PCGroup PAC ID 0840587572, 74 clinicians
BH Services Southeast 1 PCGroup PAC ID 7012457054, 96 clinicians

Practice addresses (Care Compare)

158 Mount Pelia Rd
Martin, TN 38237-3812
Phone (731) 587-0503

18 N Cavalier Dr
Alamo, TN 38001-6468
Phone (731) 696-4500

505 N Roan St
Johnson City, TN 37601-4740
Phone (423) 975-2000

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33476TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Pac Healthcare Services of Tennessee PC Psychiatric/Mental Health CurrentSince Oct 16, 2023 Accepting new patients
Compassion Mental Health Inc Psychiatric/Mental Health CurrentSince Aug 21, 2023 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Nov 1, 2024 Accepting new patients
BH Services Southeast 1 PC CurrentSince Mar 1, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Oct 16, 2023 Accepting new patients

Locations

18 N Cavalier Dr
Alamo, TN 38001
Phone (731) 696-4500

7556 US Highway 70
Bartlett, TN 38133
Phone (901) 568-7774

7556 US Highway 70
Ste 201
Bartlett, TN 38133

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1922707306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 BEAR CREEK RD",
            "city": "PARSONS",
            "state": "TN",
            "postal_code": "383635256",
            "telephone_number": "731-733-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7556 US HIGHWAY 70",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332686",
            "telephone_number": "901-552-3497",
            "fax_number": "574-635-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TAMMY",
        "middle_name": "RENAE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-24",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "33476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q087243",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.