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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

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

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: July 19, 2026.

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

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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 from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Other Providers at the Same Location NPPES 17

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

JAMES OWEN THIGPEN PA-C

Physician Assistant (Medical)