ROGER ALAN JOHNSON (PA) – Physician Assistant, NPI 1053568170

ROGER ALAN JOHNSON (PA) is a healthcare provider. based in Chattanooga, Tennessee. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 0000000417 (TN). The NPI Number for ROGER ALAN JOHNSON (PA) is 1053568170

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
ROGER ALAN JOHNSON (PA)
NPI
1053568170
Phone
(423) 664-4635
Address
1949 GUNBARREL RD
Enumeration Date
20 August 2008
Last Update Date
23 February 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6152176900
Graduation Year
1990 (36 years ago)
PAC ID
2062485113
Group Practice PAC ID
8325117484
Professional Enrollment ID
I20040817000374
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for ROGER ALAN JOHNSON (PA)

  • 1949, Gunbarrel Road, Bella Vista Acres, Chattanooga, Hamilton County, Tennessee, 37421, United States

    SUITE 125

    CHATTANOOGA, TN 374213188

    Phone: (423) 664-4635

    Fax: (423) 664-4640

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 37421)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325117484View full group profile
NameSpecialtyState
-TN
-TN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Physician AssistantNC
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

What federal number belongs to ROGER ALAN JOHNSON (PA)?
The federal identifier for ROGER ALAN JOHNSON (PA) is NPI 1053568170.
Is ROGER ALAN JOHNSON (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does ROGER ALAN JOHNSON (PA) list a primary specialty?
If you are matching referrals, note Physician Assistant for ROGER ALAN JOHNSON (PA). Clinical services aligned with this taxonomy classification.
Where is ROGER ALAN JOHNSON (PA)'s primary listing?
We display Chattanooga, Tennessee because that is what the record indicates for ROGER ALAN JOHNSON (PA).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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