Individual provider Active NPI

Carole Highlander Johnson, FNP-C

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1962536631
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12586 Issued in TN
Practice address
725 Glenwood Dr Ste E500
Chattanooga, TN 37404-1138
Phone
(423) 495-2635
Fax
(423) 495-2638
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12586 TN Primary

Addresses

Primary practice location

725 Glenwood Dr Ste E500
Chattanooga, TN 37404-1138

Mailing address

1949 Gunbarrel Rd Ste 206
Chattanooga, TN 37421-7133
Phone (423) 495-4345

Other identifiers 2

IdentifierTypeStateIssuer
3341129MedicaidTN
4214452OtherTNBCBS - TENNESSEE

Other names 1

  • Carole Elaine Culver Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070723000402 TN Practitioner - Nurse Practitioner 3577664499 Reassigns benefits to 1 organization
I20200522001643 GA Practitioner - Nurse Practitioner 3577664499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Health Partners Foundation IncGroup PAC ID 8022919570, 458 clinicians

Practice addresses (Care Compare)

4700 Battlefield Pkwy
Suite 340
Ringgold, GA 30736-5178
Phone (706) 841-7415

4700 Battlefield Pkwy
Suite 360
Ringgold, GA 30736-5175
Phone (706) 841-0050

611 E Villanow St
La Fayette, GA 30728-2618
Phone (706) 638-1606

615 E Villanow St
La Fayette, GA 30728-2618
Phone (706) 638-1606

Hospital & facility affiliations

  • Commonspirit-Memorial Hospital-North Georgia Hospital, Ringgold, GA, CCN 110236
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation Inc CurrentSince Mar 1, 2020 Accepting new patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Mar 1, 2020 Accepting new patients
Healthforce Corporation Past Accepting new patients

Locations

611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345

725 Glenwood Dr
Ste E500
Chattanooga, TN 37404
Phone (423) 495-2635

1508 Tombras Ave
East Ridge, TN 37412
Phone (423) 867-4969

Interoperability endpoints

  • Direct secure messaging: carole.johnson.1@12880.direct.athenahealth.com
  • Direct secure messaging: carolejohnson@tnmhpf.allscriptsdirect.net
  • Direct secure messaging: cjohnson171047@direct.stlukeshealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1962536631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 GUNBARREL RD STE 206",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217133",
            "telephone_number": "423-495-4345",
            "fax_number": "423-495-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 GLENWOOD DR STE E500",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041138",
            "telephone_number": "423-495-2635",
            "fax_number": "423-495-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAROLE",
        "middle_name": "HIGHLANDER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "12586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3341129",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - TENNESSEE",
            "identifier": "4214452",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLE",
            "last_name": "CULVER",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.