ANNALYSA M JOHNSON (D.O.) – Obstetrics & Gynecology Physician, NPI 1306101282

ANNALYSA M JOHNSON (D.O.) is a healthcare provider. based in Knoxville, Tennessee. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. 2972 (TN). The NPI Number for ANNALYSA M JOHNSON (D.O.) is 1306101282

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ANNALYSA M JOHNSON (D.O.)
NPI
1306101282
Phone
(865) 546-1642
Address
1932 ALCOA HWY
Enumeration Date
7 July 2012
Last Update Date
15 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8655953421
Graduation Year
2012 (14 years ago)
PAC ID
7517250616
Group Practice PAC ID
3274886809
Professional Enrollment ID
I20160727001508
Address ID
TN378045904MA270XXBLDG500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

898 OBSTETRICS/GYNECOLOGY in TN

Provider Addresses for ANNALYSA M JOHNSON (D.O.)

  • 1932 ALCOA HWY

    STE 150

    KNOXVILLE, TN 379201532

    Phone: (865) 546-1642

    Type: Mailing

  • 270 BMH PHYSICIAN OFFICE BUILDING

    MARYVILLE, TN 378041532

    Phone: (865) 546-1642

    Fax: (865) 681-7949

    Type: Mailing

  • 270 BMH PHYSICIANS OFFICE BUILDING

    MARYVILLE, TN 378043780

    Phone: (865) 546-1642

    Fax: (833) 396-2528

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $717.

Total Amount is formed as General ($717) + Research ($0) + Ownership ($0) = $717.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($202).

Total Amount

$717

General + Research + Ownership

Payments

46

Total payment records

General Amount

$717

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-07-27

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
I20160727001508IObstetrics/GynecologyTNTBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2525$0
99214Established patient office or other outpatient visit, 30-39 minutes2221$0
View full utilization report →

Insurance plans in this area (ZIP 37920)

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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: 3274886809View full group profile
NameSpecialtyState
Nurse PractitionerTN
O B S T E T R I C S/ G Y N E C O L O G YTN
O B S T E T R I C S/ G Y N E C O L O G YTN
O B S T E T R I C S/ G Y N E C O L O G YTN
Nurse PractitionerTN
-TN
-TN
O B S T E T R I C S/ G Y N E C O L O G YKY
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

What is the registry number for ANNALYSA M JOHNSON (D.O.)?
The registry entry for ANNALYSA M JOHNSON (D.O.) shows NPI 1306101282.
Is ANNALYSA M JOHNSON (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists ANNALYSA M JOHNSON (D.O.) as active.
What services align with ANNALYSA M JOHNSON (D.O.)'s listing?
ANNALYSA M JOHNSON (D.O.)'s public classification highlights Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is ANNALYSA M JOHNSON (D.O.) tied to Knoxville, Tennessee?
If you are local to Knoxville, Tennessee, ANNALYSA M JOHNSON (D.O.) may be relevant to your search.
Why is information missing for ANNALYSA M JOHNSON (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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