MAGGIE K JOHNSON (RD) – Registered Dietitian, NPI 1104309301

MAGGIE K JOHNSON (RD) is a healthcare provider. based in Oak ridge, Tennessee. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD. They hold a License No. 3487 (TN). The NPI Number for MAGGIE K JOHNSON (RD) is 1104309301

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MAGGIE K JOHNSON (RD)
NPI
1104309301
Phone
(865) 637-8812
Address
800 Oak Ridge Tpke Ste A402
Enumeration Date
13 September 2018
Last Update Date
18 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8656378812
Graduation Year
2018 (8 years ago)
PAC ID
2769736420
Group Practice PAC ID
1951371525
Professional Enrollment ID
I20181115000810
Address ID
TN379092444KN1450XBLVD401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

149 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in TN

Provider Addresses for MAGGIE K JOHNSON (RD)

  • 800 Oak Ridge Tpke Ste A402

    Oak Ridge, TN 378306951

    Phone: (865) 637-8812

    Fax: (865) 824-4886

    Type: Location

  • 414 Greenbelt Dr

    Maryville, TN 378045702

    Phone: (865) 637-8812

    Fax: (865) 342-4678

    Type: Location

  • Dowell Springs Boulevard, Knoxville, Knox County, Tennessee, 37909, United States

    KNOXVILLE, TN 379092444

    Phone: (865) 637-8812

    Fax: (865) 637-8865

    Type: Mailing

  • 1450 DOWELL SPRINGS BLVD

    SUITE 300

    KNOXVILLE, TN 37909

    Phone: (865) 637-8812

    Fax: (865) 637-8865

    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: 2018-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181115000810IRegistered Dietitian Or Nutrition ProfessionalTNTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0108Diabetes outpatient self-management training services, individual, per 30 minutes245122$0
97802Therapy procedure for nutrition management, each 15 minutes13142$0
View full utilization report →

Insurance plans in this area (ZIP 37830)

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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: 1951371525View full group profile
NameSpecialtyState
E N D O C R I N O L O G YTN
-TN
Nurse PractitionerTN
E N D O C R I N O L O G YTN
Nurse PractitionerTN
Nurse PractitionerGA
Physician AssistantTN
-TN
Physician AssistantTN
Registered Dietitian Or Nutrition ProfessionalTN

Reviews

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Frequently asked questions

How is MAGGIE K JOHNSON (RD) identified in CMS data?
CMS-hosted NPPES data lists MAGGIE K JOHNSON (RD) with NPI 1104309301.
Does CMS list MAGGIE K JOHNSON (RD) as active?
Yes — MAGGIE K JOHNSON (RD) is active in the NPI listing used on this page.
What is MAGGIE K JOHNSON (RD)'s specialty?
The listing groups MAGGIE K JOHNSON (RD) with Registered Dietitian. Clinical services aligned with this taxonomy classification.
What area does MAGGIE K JOHNSON (RD) serve?
MAGGIE K JOHNSON (RD)'s listing highlights Oak Ridge, Tennessee; more addresses can appear in NPPES.
Why does MAGGIE K JOHNSON (RD) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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