ADAM JOHNSON – Family Nurse Practitioner, NPI 1891404539

ADAM JOHNSON is a healthcare provider. based in Gray, Tennessee. specializing in NURSE PRACTITIONER. They hold a License No. 33066 (TN). The NPI Number for ADAM JOHNSON is 1891404539

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
ADAM JOHNSON
NPI
1891404539
Phone
(423) 833-5549
Address
436 Boring Chapel Rd
Enumeration Date
22 November 2022
Last Update Date
11 March 2025

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
4237943142
Graduation Year
2022 (4 years ago)
PAC ID
3375903248
Group Practice PAC ID
7214167733
Professional Enrollment ID
I20240917003492
Address ID
TN376158423GR2103XDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:3State licenses:2Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for ADAM JOHNSON

  • 436 Boring Chapel Rd

    Gray, TN 376152943

    Phone: (423) 833-5549

    Type: Location

  • 436 BORING CHAPEL RD

    GRAY, TN 376152943

    Phone: (423) 833-5549

    Type: Mailing

  • 2103 FOREST DR STE 5

    GRAY, TN 376158423

    Phone: (423) 794-3142

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $159.

Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Boston Scientific Corporation ($133).

Total Amount

$159

General + Research + Ownership

Payments

3

Total payment records

General Amount

$159

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

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: 2024-09-17

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
I20240917003492INurse PractitionerTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37615)

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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: 7214167733View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerTN
Physician AssistantWV
A N E S T H E S I O L O G YTN
Nurse PractitionerTN
Physician AssistantTN
Physician AssistantTN
Nurse PractitionerTN
Nurse PractitionerTN
-TN

Reviews

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Frequently asked questions

What identifier follows ADAM JOHNSON across health systems?
The NPI 1891404539 uniquely identifies ADAM JOHNSON in U.S. healthcare data.
Is ADAM JOHNSON currently accepting referrals based on NPI status?
Registry metadata lists ADAM JOHNSON as active.
What services align with ADAM JOHNSON's listing?
ADAM JOHNSON's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to ADAM JOHNSON?
ADAM JOHNSON shows a connection to Gray, Tennessee in registry-derived data.
Who maintains ADAM JOHNSON's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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