Active NPI
Amy L Johnson, M.D.
- Psychiatry Physician
- Falls Church, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 34363
- Practice address
- 3300 Gallows Rd
Falls Church, VA 22042-3307 - Phone
- (703) 776-4001
- Fax
- (703) 776-7113
- NPI assigned
- Jan 8, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 72397 | TN | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 72397 | TN | |
| Psychiatry Physician | 2084P0800X | 34363 | NC | Primary |
Addresses
Primary practice location
3300 Gallows Rd
Falls Church, VA 22042-3307
Mailing address
800 N Justice St
Hendersonville, NC 28791-3410
Phone (828) 694-8350
Other practice location 1
1951 Bishop Ln
Suite 204/206
Louisville, KY 40218-1930
Phone (502) 479-4433
Other practice location 2
403 N State Of Franklin Rd
Johnson City, TN 37604-6034
Phone (423) 431-7111
Other names 1
- Amy Lee Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone (252) 962-8124
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72397 | TN | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corp | Current | Accepting new patients | |
| NHCS Physicians Inc | Psychiatry | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients |
Locations
2301 Medpark Dr
Ste B
Rocky Mount, NC 27804
Phone (252) 962-5000
2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199
1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380
1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000
403 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-7042
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
Interoperability endpoints
- ajohnson653467@direct.unc.nchie.net
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Multi-Specialty Clinic/Center
- Hendersonville, NC
- NPI 1447444559
-
- Family Medicine Physician
- Kingsport, TN
- NPI 1588326839
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1942358783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N JUSTICE ST",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287913410",
"telephone_number": "828-694-8350",
"fax_number": "828-694-7654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 GALLOWS RD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220423307",
"telephone_number": "703-776-4001",
"fax_number": "703-776-7113"
}
],
"practiceLocations": [
{
"address_1": "1951 Bishop Ln",
"address_2": "Suite 204/206",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402181930",
"country_code": "US",
"telephone_number": "502-479-4433",
"fax_number": "502-451-5949",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "403 N State Of Franklin Rd",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376046034",
"country_code": "US",
"telephone_number": "423-431-7111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "AMY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "72397",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TN",
"license": "72397",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "34363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "JOHNSON",
"middle_name": "LEE",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.