MRS. MALINDA A JOHNSON P.A.
NPI 1306977814
Physician Assistant - Medical in Antioch, TN

Q: What is Malinda Johnson's NPI number?

The NPI number for Malinda Johnson is 1306977814. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Q: What is Malinda Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Malinda Johnson was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 08, 2007PECOS Enrolled

5801 CROSSINGS BLVD, ANTIOCH, TN 37013(615) 941-8501(615) 941-8102 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mrs. Malinda A Johnson P.a. NPPES

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

MRS. MALINDA A JOHNSON P.A. (NPI 1306977814) is an individual medical provider in Antioch, Tennessee, licensed in Tennessee (1043) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306977814

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. MALINDA A JOHNSONCredential: P.A.

Location Address5801 CROSSINGS BLVDAntioch, TN 37013-3130

Mailing Address5801 Crossings BlvdAntioch, TN 37013-3130 · (615) 941-8501 · Fax (615) 941-8102

Phone(615) 941-8501

Fax(615) 941-8102

Sole ProprietorNo

Enumeration DateMarch 8, 2007

Last NPPES UpdateMarch 7, 2023

✔ NPI 1306977814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TN · 1043

5801 CROSSINGS BLVD, Antioch, TN 37013

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Other Identifiers 1

Other1043TN · State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Malinda A Johnson P.a. 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.