MYRA YOUNG JOHNSON
NPI 1003601170
Social Worker - Clinical in Smithville, TN
About Myra Young Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MYRA YOUNG JOHNSON (NPI 1003601170), doing business as Myra Johnson Miller, is a healthcare organization registered as a clinical in Smithville, Tennessee and active in the NPI registry since April 2025. The organization lists Myra Johnson Miller, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Myra Young Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Myra Young Johnson, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Myra Young Johnson's NPI number?
The NPI number for Myra Young Johnson is 1003601170. It was assigned to this organization in the NPPES registry on April 10, 2025. The provider is doing business as Myra Johnson Miller.
Where is Myra Young Johnson located?
Myra Young Johnson is located at 301 Evins Mill Rd, Smithville, TN 37166. The listed phone number is (615) 809-8925.
What is Myra Young Johnson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Myra Young Johnson enrolled in Medicare?
Yes. Myra Young Johnson is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Myra Young Johnson?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Myra Young Johnson. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Myra Young Johnson was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Myra Young Johnson · NPI 1003601170
Clinical organization in Smithville, Tennessee. Organization record, active in the CMS NPPES registry since April 10, 2025.
## Identity
- **NPI:** 1003601170 (Entity type: Organization)
- **Enumerated:** April 10, 2025
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Also known as:** MYRA JOHNSON MILLER (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Myra Miller, OWNER
## Practice location
- **Address:** 301 EVINS MILL RD, Smithville, TN 37166-5134
- **Phone:** (615) 809-8925
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1003601170) · Data from the CMS NPPES public registry.