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CALLIE LYNN JOHNSON
NPI 1407735053
Physician Assistant - Medical in Louisville, KY

Active since August 28, 2025
3015 WILSON AVE, LOUISVILLE, KY 40211(502) 774-4401(833) 471-2827 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Callie Lynn Johnson NPPES

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

CALLIE LYNN JOHNSON (NPI 1407735053) is an individual medical provider in Louisville, Kentucky and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1407735053
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCALLIE LYNN JOHNSON
Location Address3015 WILSON AVELouisville, KY 40211-1969
Mailing Address125 Mountain View DrRickman, TN 38580-2057 · (931) 704-2769
Phone(502) 774-4401
Fax(833) 471-2827
Sole ProprietorNo
Enumeration DateAugust 28, 2025
Last NPPES UpdateDecember 18, 2025
NPPES CertifiedDecember 18, 2025
✔ NPI 1407735053 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
3015 WILSON AVE, Louisville, KY 40211
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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.

NIKEEA BULLOCK APRN
Nurse Practitioner (Psychiatric/Mental Health)
3015 WILSON AVE
LOUISVILLE, KY 40211
Jefferson County (502) 774-4401
SYDNI HAMPRON
Community Health Worker
3015 WILSON AVE
LOUISVILLE, KY 40211
Jefferson County (502) 774-4401
DR. PARANITA SHERARD BRATTON M.D
Family Medicine (Adult Medicine)
3015 WILSON AVE
LOUISVILLE, KY 40211
Jefferson County (502) 774-4401
D'NAI CELESTE OVERSTREET D.M.D.
Dentist (General Practice)
3015 WILSON AVE
LOUISVILLE, KY 40211
Jefferson County (502) 774-4401
CIARA SANDEFUR DMD
Dentist (General Practice)
3015 WILSON AVE
LOUISVILLE, KY 40211
Jefferson County (502) 774-4401
TASHANA FORD APRN
Nurse Practitioner (Family)
3015 WILSON AVE
LOUISVILLE, KY 40211
Jefferson County (502) 774-4401
KIARA FARRIS APRN
Nurse Practitioner (Family)
3015 WILSON AVE
LOUISVILLE, KY 40211
Jefferson County (502) 774-4401
MR. LEON C FIGA RPH
Pharmacist
3015 WILSON AVE
LOUISVILLE, KY 40211
Jefferson County (502) 774-4401

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 Callie Johnson's NPI number?

The NPI number for Callie Johnson is 1407735053. It was assigned to this individual provider in the NPPES registry on August 28, 2025.

Where is Callie Johnson located?

Callie Johnson practices at 3015 Wilson Ave, Louisville, KY 40211. The listed phone number is (502) 774-4401.

What is Callie Johnson's specialty?

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

When was this NPI record last updated?

The NPPES record for Callie Johnson was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.