DR. CLIFFORD Q JOHNSON,JR M.D.
NPI 1164424438
Otolaryngology in Knoxville, TN
About Dr. Clifford Q Johnson,jr M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CLIFFORD Q JOHNSON,JR M.D. (NPI 1164424438) is an individual otolaryngology provider in Knoxville, Tennessee, licensed in Tennessee (7979) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Clifford Q Johnson,jr M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Clifford Johnson,jr reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Knoxville, TN 37932
- Reassigned Medicare billing, Tennessee enrollment
- 34 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37923 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
KNOXVILLE, TN 37923
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 Clifford Johnson,jr's NPI number?
The NPI number for Clifford Johnson,jr is 1164424438. It was assigned to this individual provider in the NPPES registry on June 1, 2005.
Where is Clifford Johnson,jr located?
Clifford Johnson,jr practices at 9430 Park West Blvd Ste 330, Knoxville, TN 37923. The listed phone number is (865) 693-6065.
What is Clifford Johnson,jr's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Clifford Johnson,jr enrolled in Medicare?
Yes. Clifford Johnson,jr is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Clifford Johnson,jr's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clifford Johnson,jr reassigns Medicare benefits to Tennessee Ear, Nose & Throat Consultants, PC (Knoxville, TN). The 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 Clifford Johnson,jr's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Clifford Johnson,jr was last updated on November 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.
# Dr. Clifford Q Johnson,jr, M.D. · NPI 1164424438
Otolaryngology physician in Knoxville, Tennessee. Individual provider, active in the CMS NPPES registry since June 1, 2005.
## Identity
- **NPI:** 1164424438 (Entity type: Individual)
- **Enumerated:** June 1, 2005
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 7979 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 9430 PARK WEST BLVD, STE 330, Knoxville, TN 37923-4203
- **Phone:** (865) 693-6065 · **Fax:** (865) 531-6325
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tennessee Ear, Nose & Throat Consultants, PC (NPI 1255352266, Knoxville, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 5, 2007
- **Other identifiers:** Medicare PIN 3166537; Medicare UPIN B03176 (TN); Medicaid 3166534 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1164424438) · Data from the CMS NPPES public registry.