Individual provider Active NPI

Johnny Ray Rivers, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1992172399
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN20336 Issued in TN
Practice address
108 Lovell Rd
Suite B
Knoxville, TN 37934-1903
Phone
(865) 288-7777
Fax
(865) 288-7775
NPI assigned
Sep 1, 2015
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN20336 TN Primary
Primary Care Nurse Practitioner 363LP2300X 20336 TN

Addresses

Primary practice location

108 Lovell Rd
Suite B
Knoxville, TN 37934-1903

Mailing address

108 Lovell Rd
Suite B
Knoxville, TN 37934-1903
Phone (865) 288-7777

Other identifiers 1

IdentifierTypeStateIssuer
20336OtherTNLICENSE NUMBER

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
I20151109000067 TN Practitioner - Nurse Practitioner 3375511728 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Pulmonary and Sleep Consultants LLCGroup PAC ID 8628160462, 3 clinicians
Urgent Family Care, PLLCGroup PAC ID 5496988750, 3 clinicians

Practice addresses (Care Compare)

108 Lovell Rd
Suite a
Knoxville, TN 37934-1903
Phone (865) 212-4744

108 Lovell Rd a
Knoxville, TN 37934-1903

120 Hospital Dr
Suite 260
Jefferson City, TN 37760-5283
Phone (865) 471-2573

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
71.04
Promoting interoperability
100
Improvement activities
40
Cost
81.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN20336TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC CurrentSince Dec 2, 2022 Accepting new patients
Family Medicine West PLLC CurrentSince Oct 17, 2016 Accepting new patients
Urgent Family Care PLLC CurrentSince Nov 1, 2015 Accepting new patients
The Pulmonary and Sleep Consultants, LLC CurrentSince Jan 5, 2026 Accepting new patients
DX Mso, PLLC CurrentSince Aug 30, 2017 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Jan 30, 2024 Accepting new patients
Family Medicine West PLLC CurrentSince Oct 17, 2016 Accepting new patients
Urgent and Family Care, LLC PastSince Dec 1, 2012 Accepting new patients

Locations

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

1025 Peerless Xing NW
Cleveland, TN 37312
Phone 4234765990 ext. 104

170 Mouse Creek Rd NW
Cleveland, TN 37312
Phone (423) 458-1426

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

108 Lovell Rd
Ste A
Knoxville, TN 37934
Phone (865) 212-4744

108 Lovell Rd
Ste B
Knoxville, TN 37934
Phone (865) 288-7777

189 Brooklawn St
Knoxville, TN 37934
Phone (865) 392-9136

220 Fort Sanders West Blvd
Ste 200
Knoxville, TN 37922
Phone (423) 346-5566

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

234 E Emory Rd
Powell, TN 37849
Phone (865) 761-7110

707 Dolly Parton Pkwy
Sevierville, TN 37862
Phone (865) 428-5614

Organizations & group practices 8

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": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1992172399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LOVELL RD",
            "address_2": "SUITE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341903",
            "telephone_number": "865-288-7777",
            "fax_number": "865-288-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LOVELL RD",
            "address_2": "SUITE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341903",
            "telephone_number": "865-288-7777",
            "fax_number": "865-288-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "JOHNNY",
        "middle_name": "RAY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-01",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN20336",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "20336",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "20336",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.