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JOHNSON FAMILY MEDICINE LLC
NPI 1629446125
Family Medicine in Crossville, TN

Active since September 14, 2015CLIA 44D2103085 · Waiver
137 OBRIEN DR STE 101, CROSSVILLE, TN 38555(931) 484-2220(931) 484-2220 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2026, Nov 14, 2025, Apr 3, 2019 (3 updates tracked since 2019).

About Johnson Family Medicine Llc NPPES

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

JOHNSON FAMILY MEDICINE LLC (NPI 1629446125) is a healthcare organization registered as a family medicine in Crossville, Tennessee and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through October 5, 2027, maintains a secondary practice location in Crossville, and lists Angel Suzanne Myrick, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1629446125
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJOHNSON FAMILY MEDICINE LLC
Location Address137 OBRIEN DR STE 101Crossville, TN 38555-8751
Mailing Address137 Obrien Dr Ste 101Crossville, TN 38555-8751 · (931) 484-2220 · Fax (931) 484-2225
Phone(931) 484-2220
Fax(931) 484-2220
Organization SubpartNo
Authorized OfficialAngel Suzanne MyrickPractice Manager · (931) 484-2220
Enumeration DateSeptember 14, 2015
Last NPPES UpdateJune 5, 20263 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1629446125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 30511
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 14809 (TN)
137 OBRIEN DR STE 101, Crossville, TN 38555
Open in Google Maps ↗

Secondary Practice Location 1

Location 14147 Highway 127 N Ste 102Crossville, TN 38571-7521 · Phone (931) 484-2220 · Fax (931) 484-2225

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnson Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Johnson Family Medicine LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Ashlyn Fowler, APN
Nurse Practitioner
NPI 1255153334
137 OBRIEN DR
Crossville, TN 38555
(931) 484-2220
✔ PECOS✔ Accepts MedicareSame address
Yolanda Hohimer, APN, FNP-C
Nurse Practitioner
NPI 1588114276
137 OBRIEN DR STE 101
Crossville, TN 38555
(931) 484-2220
✔ PECOS✔ Accepts MedicareSame address
James Johnson, MD
Family Practice
NPI 1851357578
137 OBRIEN DR STE 101
Crossville, TN 38555
(931) 484-2220
✔ PECOS✔ Accepts MedicareSame address
Sheila Blalock, APN
Nurse Practitioner
NPI 1952625030
4147 HIGHWAY 127 N STE 102
Crossville, TN 38571
(931) 484-2220
✔ PECOS✔ Accepts Medicare2.6 mi
Rebecca Swafford, APN
Nurse Practitioner
NPI 1366020588
100 LANTANA RD STE 202A
Crossville, TN 38555
(831) 484-5141
✔ PECOS✔ Accepts Medicare7.0 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2103085

Johnson Family Medicine LLC · Crossville, TN
Active · expires Oct 5, 2027
CLIA Number44D2103085
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorJames Johnson
Laboratory Phone(931) 787-1112
Laboratory LocationJohnson Family Medicine LLC137 Obrien Dr, Suite 101, Crossville, TN 38555
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Johnson Family Medicine LLC's NPI number?

The NPI number for Johnson Family Medicine LLC is 1629446125. It was assigned to this organization in the NPPES registry on September 14, 2015.

Where is Johnson Family Medicine LLC located?

Johnson Family Medicine LLC is located at 137 Obrien Dr Ste 101, Crossville, TN 38555. The listed phone number is (931) 484-2220.

What is Johnson Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Johnson Family Medicine LLC enrolled in Medicare?

Yes. Johnson Family Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Johnson Family Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Johnson Family Medicine LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (4) and Family Practice (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Johnson Family Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2103085) is associated with this NPI, valid through October 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Johnson Family Medicine LLC was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.