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DR. ALEXANDRA NICOLE JOHNSON DO
NPI 1477058915
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Johnson City, TN

Active since March 27, 2018PECOS Enrolled
410 N STATE OF FRANKLIN RD STE 130, JOHNSON CITY, TN 37604(423) 431-2477 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 12, 2024, Nov 5, 2024, May 1, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Alexandra Nicole Johnson Do NPPES

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

DR. ALEXANDRA NICOLE JOHNSON DO (NPI 1477058915) is an individual pediatric orthopaedic surgery provider in Johnson City, Tennessee, licensed in Tennessee (5911) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1477058915
Entity TypeIndividualFemale
Primary Taxonomy207XP3100X
Provider Legal NameDR. ALEXANDRA NICOLE JOHNSONCredential: DO
Location Address410 N STATE OF FRANKLIN RD STE 130Johnson City, TN 37604-6972
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111 · Fax (423) 282-1657
Phone(423) 431-2477
Sole ProprietorNo
Enumeration DateMarch 27, 2018
Last NPPES UpdateNovember 12, 20244 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1477058915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
License✔ Licensed in TN · 5911
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
410 N STATE OF FRANKLIN RD STE 130, Johnson City, TN 37604
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Secondary Practice Locations 2

Location 1130 W Ravine Rd Ste 9CKingsport, TN 37660-3837 · Phone (618) 554-3845
Location 22301 Erwin RdDurham, NC 27710-3837 · Phone (919) 634-6269

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alexandra Nicole Johnson Do 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 Reassignment

Medicare enrollment records show Alexandra Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blue Ridge Medical Management Corporation
Same address
Neurological Surgery
410 N STATE OF FRANKLIN RD, SUITE 120
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 496 clinicians in this Medicare group
NPI 1003152307 (423) 431-2350

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAMIN A BEHMAND
Plastic Surgery
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
RYAN M LANDIS MD
Surgery (Surgical Critical Care)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
ANTHONY JAMES MIDKIFF PA-C
Physician Assistant
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2460
SAVANNA M WHITEHEAD NP
Nurse Practitioner (Family)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
ALICIA B LANDRY PA-C
Physician Assistant (Surgical)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
LOU M. SMITH M.D.
Surgery (Surgical Critical Care)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
JAMES OWEN THIGPEN PA-C
Physician Assistant (Medical)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
MISS BAYLEI A MCCOWAN PA-C
Physician Assistant (Surgical)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477

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 Alexandra Johnson's NPI number?

The NPI number for Alexandra Johnson is 1477058915. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Alexandra Johnson located?

Alexandra Johnson practices at 410 N State Of Franklin Rd Ste 130, Johnson City, TN 37604. The listed phone number is (423) 431-2477.

What is Alexandra Johnson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Alexandra Johnson enrolled in Medicare?

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

Which organization bills Medicare for Alexandra Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Johnson reassigns Medicare benefits to Blue Ridge Medical Management Corporation (Johnson City, 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 Alexandra Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexandra Johnson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Alexandra Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexandra Johnson was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.