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DR. BEVERLY CLARK JOHNSON MD
NPI 1669489639
Family Medicine in Clarksville, TN

Active since August 02, 2006PECOS Enrolled
272 ANDREW JACKSON DR, CLARKSVILLE, TN 37043(931) 980-5375 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Beverly Clark Johnson Md NPPES

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

DR. BEVERLY CLARK JOHNSON MD (NPI 1669489639) is an individual family medicine provider in Clarksville, Tennessee, licensed in Tennessee (MD28806) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669489639
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BEVERLY CLARK JOHNSONCredential: MD
Location Address272 ANDREW JACKSON DRClarksville, TN 37043-1723
Mailing Address272 Andrew Jackson DrClarksville, TN 37043-1723 · (931) 980-5375
Phone(931) 980-5375
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1669489639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · MD28806
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.
272 ANDREW JACKSON DR, Clarksville, TN 37043
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Other Identifiers 2

Medicaid64350994KY
Medicaid3811144TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Beverly Clark Johnson Md 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 Reassignments

2

Medicare enrollment records show Beverly Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ambulatory And Occupational Health Clinic PC
2.1 mi
Urgent Care
2320 WILMA RUDOLPH BLVD
Clarksville, TN 37040
  • Reassigned Medicare billing, Tennessee enrollment
  • 5 clinicians in this Medicare group
NPI 1649226606 (931) 645-1564
Community Health Centers Of Western Kentucky Inc
10 mi
Federally Qualified Health Center (FQHC)
10220 DIXIE BEELINE HWY
Guthrie, KY 42234
  • Reassigned Medicare billing, Kentucky enrollment
  • 29 clinicians in this Medicare group
NPI 1700321353 (270) 338-5777

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

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37043 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Beverly Johnson's NPI number?

The NPI number for Beverly Johnson is 1669489639. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Beverly Johnson located?

Beverly Johnson practices at 272 Andrew Jackson Dr, Clarksville, TN 37043. The listed phone number is (931) 980-5375.

What is Beverly Johnson's specialty?

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

Is Beverly Johnson enrolled in Medicare?

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

Which organizations bill Medicare for Beverly Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beverly Johnson reassigns Medicare benefits to 2 organizations: Ambulatory And Occupational Health Clinic PC (Clarksville, TN) and Community Health Centers Of Western Kentucky Inc (Guthrie, KY). Each 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 Beverly Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Beverly Johnson was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.