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

Active since September 29, 2025
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: July 19, 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.

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
Sole ProprietorNo
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

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.

Preventive Medicine (Public Health & General Preventive Medicine)
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Physician Assistant
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Specialist/Technologist (Athletic Trainer)
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Physician Assistant
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Family Medicine
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Specialist/Technologist (Athletic Trainer)
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Student in an Organized Health Care Education/Training Program
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Student in an Organized Health Care Education/Training Program
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114890720, enumerated as an "individual" on September 29, 2025.

The provider is located at 6965 CUMBERLAND GAP PKWY HARROGATE, TN 37752 and the phone number is (423) 869-3600.

Physician Assistant with taxonomy code 363A00000X.