GREGORY W JOHNSON (APRN, AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1821572876

GREGORY W JOHNSON (APRN, AGACNP-BC) is a healthcare provider. based in Cookeville, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, AGACNP-BC. They hold a License No. 20652 (TN). The NPI Number for GREGORY W JOHNSON (APRN, AGACNP-BC) is 1821572876

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY W JOHNSON (APRN, AGACNP-BC)
NPI
1821572876
Phone
(931) 783-2770
Address
1 Medical Center Blvd
Enumeration Date
15 September 2018
Last Update Date
8 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034351200
Graduation Year
2018 (8 years ago)
PAC ID
0648519595
Group Practice PAC ID
3274908819
Professional Enrollment ID
I20230523002699
Address ID
OR971286258MC2700XAVEX414
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:7State licenses:2Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for GREGORY W JOHNSON (APRN, AGACNP-BC)

  • 1 Medical Center Blvd

    Cookeville, TN 385014294

    Phone: (931) 783-2770

    Fax: (931) 525-1176

    Type: Location

  • 127, North Oak Avenue, Cookeville, Putnam County, Tennessee, 38501, United States

    COOKEVILLE, TN 385012435

    Phone: (931) 783-2770

    Type: Mailing

  • Cookeville Regional Medical Center, 1, Medical Center Boulevard, Cookeville, Putnam County, Tennessee, 38501, United States

    COOKEVILLE, TN 385014294

    Phone: (931) 783-2770

    Fax: (931) 525-1176

    Type: Location

  • 9205 SW BARNES RD

    PORTLAND, OR 972256603

    Phone: (503) 216-2906

    Type: Location

  • PO BOX 3158

    PORTLAND, OR 972083158

    Phone: (503) 215-6494

    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: 2023-05-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190311002874INurse PractitionerTNTBD
I20230523002699INurse PractitionerORTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes18879$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes102100$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6563$0
99239Hospital discharge day management, more than 30 minutes6262$0
View full utilization report →

Insurance plans in this area (ZIP 38501)

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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: 3274908819View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OR
Emergency MedicineDC
Physician AssistantMD
Nurse PractitionerHI
Physician AssistantFL
Interventional Cardiology, Cardiovascular Disease (Cardiology)OR
Family PracticeOR
Nurse PractitionerOR
Emergency MedicinePA
Family PracticeOH

Reviews

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Frequently asked questions

Can I use this page to confirm GREGORY W JOHNSON (APRN, AGACNP-BC)'s NPI?
Yes. GREGORY W JOHNSON (APRN, AGACNP-BC) is listed with NPI 1821572876 in the public NPI dataset.
Is GREGORY W JOHNSON (APRN, AGACNP-BC) listed as active for patients and plans?
The listing shows GREGORY W JOHNSON (APRN, AGACNP-BC) as active in the NPI system.
What healthcare role does GREGORY W JOHNSON (APRN, AGACNP-BC) hold?
Scheduling teams often label GREGORY W JOHNSON (APRN, AGACNP-BC) under Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for GREGORY W JOHNSON (APRN, AGACNP-BC)?
GREGORY W JOHNSON (APRN, AGACNP-BC)'s geographic hint is Cookeville, Tennessee in our summary view.
Why does GREGORY W JOHNSON (APRN, AGACNP-BC) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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