1. Home
  2. Directory
  3. Alabama
  4. Birmingham
  5. Nurse Practitioner
  6. NPI Profile

TARA JOHNSON
NPI 1174079602
Nurse Practitioner - Family in Birmingham, AL

Active since August 25, 2016PECOS Enrolled
241 VARDEN HILL DR, BIRMINGHAM, AL 35214(205) 281-5437 Get Directions Write a Review

NPPES record last updated: August 25, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tara Johnson NPPES

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

TARA JOHNSON (NPI 1174079602) is an individual family provider in Birmingham, Alabama, licensed in Alabama (1-105506) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174079602
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTARA JOHNSON
Location Address241 VARDEN HILL DRBirmingham, AL 35214-1945
Mailing Address241 Varden Hill DrBirmingham, AL 35214-1945 · (205) 281-5437
Phone(205) 281-5437
Sole ProprietorNo
Enumeration DateAugust 25, 2016
✔ NPI 1174079602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-105506
241 VARDEN HILL DR, Birmingham, AL 35214
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tara Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Associated Care Ventures, Inc.
8.6 mi
Nursing Care
3008 7TH AVE S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 7 clinicians in this Medicare group
NPI 1528684438 (205) 767-7930
Fast Pace Medical Clinic PLLC
95 mi
Family Medicine
416 N SEMINARY ST STE 1100
Florence, AL 35630
  • Reassigned Medicare billing, Alabama enrollment
  • 179 clinicians in this Medicare group
NPI 1639679962 (931) 253-1110

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 35214 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Tara Johnson's NPI number?

The NPI number for Tara Johnson is 1174079602. It was assigned to this individual provider in the NPPES registry on August 25, 2016.

Where is Tara Johnson located?

Tara Johnson practices at 241 Varden Hill Dr, Birmingham, AL 35214. The listed phone number is (205) 281-5437.

What is Tara Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tara Johnson enrolled in Medicare?

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

Which organizations bill Medicare for Tara Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Johnson reassigns Medicare benefits to 2 organizations: Associated Care Ventures, Inc. (Birmingham, AL) and Fast Pace Medical Clinic PLLC (Florence, AL). Each 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 Tara Johnson'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 Tara Johnson was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.