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RANDI MICHELLE JOHNSON PA
NPI 1114890720
Physician Assistant in Harrogate, TN

Active since September 29, 2025PECOS Enrolled
6965 CUMBERLAND GAP PKWY, HARROGATE, TN 37752(423) 869-3600 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randi Michelle Johnson Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDI MICHELLE JOHNSON PA (NPI 1114890720) is an individual physician assistant in Harrogate, Tennessee and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114890720
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRANDI MICHELLE JOHNSONCredential: PA
Location Address6965 CUMBERLAND GAP PKWYHarrogate, TN 37752-8245
Mailing Address158 Elaine DrTazewell, TN 37879-6229 · (951) 490-3482
Phone(423) 869-3600
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 29, 2025
Last NPPES UpdateOctober 8, 2025
NPPES CertifiedOctober 8, 2025
✔ NPI 1114890720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6965 CUMBERLAND GAP PKWY, Harrogate, TN 37752
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randi Michelle Johnson Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466920251
PECOS Enrollment IDI20260511001365
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37752 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL RAYMOND WOOD
Registered Nurse
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-3611
PAULA ARCHER DO
Neuromusculoskeletal Medicine & OMM
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-7447
JEROD K WILLIAMS
Student in an Organized Health Care Education/Training Program
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-6723
MELANIE AHART PA-C
Physician Assistant
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-7200
LAUREN CONTRERAS PA-C
Physician Assistant
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (323) 527-7525
CHRISTOPHER FRALEY
Student in an Organized Health Care Education/Training Program
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-3611
EMILIE FRANCOIS
Physician Assistant
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (256) 431-8890
ANNE MARIE ZELLER
Family Medicine (Sports Medicine)
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-6710

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 Randi Johnson's NPI number?

The NPI number for Randi Johnson is 1114890720. It was assigned to this individual provider in the NPPES registry on September 29, 2025.

Where is Randi Johnson located?

Randi Johnson practices at 6965 Cumberland Gap Pkwy, Harrogate, TN 37752. The listed phone number is (423) 869-3600.

What is Randi Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Randi Johnson enrolled in Medicare?

Yes. Randi Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randi Johnson was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.