DR. TERENCE EDWARD JOHNSON (M.D.) – Otolaryngology Physician, NPI 1508837535
Otolaryngology Physician
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NPPES metrics only — not quality of care.
179 OTOLARYNGOLOGY in KY
Provider Addresses for DR. TERENCE EDWARD JOHNSON (M.D.)
1000 Breckenridge St Ste 303
Owensboro, KY 423030877
Phone: (270) 688-2720
Fax: (270) 688-2729
Type: Location
417 W 3rd Ave
Albany, GA 317011943
Phone: (229) 312-5800
Type: Location
500 LAKEWAY LANE
NEW TAZEWELL, TN 37825
Phone: (858) 204-0448
Type: Mailing
1901 CLINCH AVE
KNOXVILLE, TN 379162307
Phone: (757) 953-2825
Type: Location
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 237082111
Phone:
Type: Mailing
Naval Medical Center San Diego, 34800, Bob Wilson Drive, San Diego, San Diego County, California, 92101, United States
NMCSD, ATTN: MEDICAL STAFF SERVICES
SAN DIEGO, CA 921341098
Phone: (619) 532-6460
Fax: (619) 532-6299
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-02-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231207000318 | I | Otolaryngology | GA | TBD |
| I20241205003014 | I | Otolaryngology | KY | TBD |
| I20250604003305 | I | Otolaryngology | SD | TBD |
| I20250904005060 | I | Otolaryngology | TX | TBD |
| I20251217002442 | I | Otolaryngology | MN | TBD |
| I20251229001575 | I | Otolaryngology | MI | TBD |
| I20260209000433 | I | Otolaryngology | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 42303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Internal Medicine | GA | |
| - | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Internal Medicine, Critical Care (Intensivists), Infectious Disease | IN | |
| Internal Medicine | GA | |
| Internal Medicine | GA | |
| Pulmonary Disease, Internal Medicine | FL |
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