1. Home
  2. Directory
  3. Tennessee
  4. Jackson
  5. Optometrist
  6. NPI Profile

DR. PAULA JOHNSON-WYATT OD
NPI 1477501088
Optometrist - Pediatrics in Jackson, TN

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
1012 GREYSTONE SQUARE, JACKSON, TN 38305(731) 660-1100 Get Directions Write a Review

NPPES record last updated: February 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paula Johnson-wyatt Od NPPES

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

DR. PAULA JOHNSON-WYATT OD (NPI 1477501088) is an individual pediatrics provider in Jackson, Tennessee, licensed in Tennessee (ODT-2423) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1477501088
Entity TypeIndividualFemale
Primary Taxonomy152WP0200X
Provider Legal NameDR. PAULA JOHNSON-WYATTCredential: OD
Location Address1012 GREYSTONE SQUAREJackson, TN 38305
Mailing Address222 Springview DrJackson, TN 38305-6238 · (731) 423-1724
Phone(731) 660-1100
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateMay 5, 2006
Last NPPES UpdateFebruary 25, 2019
✔ NPI 1477501088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · PediatricsEye and Vision Services Providers
Taxonomy Code152WP0200X
License✔ Licensed in TN · ODT-2423
Definition
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
1012 GREYSTONE SQUARE, Jackson, TN 38305
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Paula Johnson O.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Providence Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paula Johnson-wyatt Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901884162
PECOS Enrollment IDI20040713000797
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
17 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38305 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

JOHNSON VISION DEVELOPMENT CENTER, LLC
Optometrist (Pediatrics)
1012 GREYSTONE SQUARE
JACKSON, TN 38305
Madison County (731) 660-1100

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 Paula Johnson-wyatt's NPI number?

The NPI number for Paula Johnson-wyatt is 1477501088. It was assigned to this individual provider in the NPPES registry on May 5, 2006. The provider is also known as Dr. Paula Johnson O.D..

Where is Paula Johnson-wyatt located?

Paula Johnson-wyatt practices at 1012 Greystone Square, Jackson, TN 38305. The listed phone number is (731) 660-1100.

What is Paula Johnson-wyatt's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

Is Paula Johnson-wyatt enrolled in Medicare?

Yes. Paula Johnson-wyatt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paula Johnson-wyatt accept?

Health plans from BlueCross BlueShield of Tennessee, Providence Health Plan and UnitedHealthcare list Paula Johnson-wyatt 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 Paula Johnson-wyatt was last updated on February 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.