Individual provider Active NPI

Jennifer H Johnston, MD

  • Obstetrics & Gynecology Physician
  • Clarksville, TN
National Provider Identifier
1962436105
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
37376 Issued in TN
Practice address
751 Chesapeake LN
Clarksville, TN 37040-5263
Phone
(931) 538-1828
Fax
(931) 538-4536
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 37376 TN Primary

Addresses

Primary practice location

751 Chesapeake LN
Clarksville, TN 37040-5263

Mailing address

751 Chesapeake LN
Clarksville, TN 37040-5263
Phone (931) 538-1828

Other identifiers 2

IdentifierTypeStateIssuer
4071299OtherTNBLUE CROSS
3885750MedicaidTN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031204001133 TN Practitioner - Obstetrics/Gynecology 2264337922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
QCWH PCGroup PAC ID 1658764659, 5 clinicians

Practice addresses (Care Compare)

751 Chesapeake LN
Clarksville, TN 37040-5263
Phone (931) 538-1823

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
QCWH PC Obstetrics & Gynecology CurrentSince Dec 1, 2021 Accepting new patients
Clarksville Health System, LLC Past Accepting new patients
Southern Pain Institute PLLC PastSince Dec 1, 2021 Accepting new patients

Locations

751 Chesapeake Ln
#101
Clarksville, TN 37040
Phone (931) 538-1811

751 Chesapeake Ln
Clarksville, TN 37040
Phone (931) 538-1811

Interoperability endpoints

  • Direct secure messaging: jennifer.johnston.1@31992.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1962436105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 CHESAPEAKE LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405263",
            "telephone_number": "931-538-1828",
            "fax_number": "931-538-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 CHESAPEAKE LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405263",
            "telephone_number": "931-538-1828",
            "fax_number": "931-538-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JENNIFER",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "37376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4071299",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3885750",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.