DR. TARA LYNN JOHNSON M.D.
NPI 1730419771
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Corpus Christi, TX

Q: What is Tara Johnson's NPI number?

The NPI number for Tara Johnson is 1730419771. It was assigned to this individual provider in the NPPES registry on January 13, 2010.

Q: What is Tara Johnson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Q: When was this NPI record last updated?

The NPPES record for Tara Johnson was last updated on November 20, 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.

Active since January 13, 2010PECOS Enrolled

3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411(361) 694-5000(361) 694-5000 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 20, 2024, Jun 19, 2018 (2 updates tracked since 2018).

On this page

About Dr. Tara Lynn Johnson M.d. NPPES

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

DR. TARA LYNN JOHNSON M.D. (NPI 1730419771) is an individual neurology with special qualifications in child neurology provider in Corpus Christi, Texas, licensed in Texas (V4683) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Little Rock.

NPPES Registry Identity

NPI1730419771

Entity TypeIndividualFemale

Primary Taxonomy2084N0402X

Provider Legal NameDR. TARA LYNN JOHNSONCredential: M.D.

Location Address3533 S ALAMEDA STCorpus Christi, TX 78411-1721

Mailing Address3533 S Alameda StCorpus Christi, TX 78411-1721 · (361) 694-4520 · Fax (361) 851-6867

Phone(361) 694-5000

Fax(361) 694-5000

Sole ProprietorNo

Enumeration DateJanuary 13, 2010

Last NPPES UpdateNovember 20, 20242 updates tracked since enumeration

NPPES CertifiedNovember 18, 2024

✔ NPI 1730419771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

License✔ Licensed in TX · V4683

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Also ListedPediatricsTaxonomy 208000000X · License E-11312 (AR), MT198880 (MD)

Also ListedPediatrics · Neurodevelopmental DisabilitiesTaxonomy 2080P0008X · License V4683 (TX)

3533 S ALAMEDA ST, Corpus Christi, TX 78411

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Secondary Practice Location 1

Location 11 Childrens WayLittle Rock, AR 72202 · Phone (501) 364-1850 · Fax (501) 364-6077

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Tara Lynn Johnson M.d. 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 Tara Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Physician Services Of South Texas

Same address

Plastic Surgery

3533 S ALAMEDA ST
Corpus Christi, TX 78411

Reassigned Medicare billing, Texas enrollment
510 clinicians in this Medicare group

NPI 1568658227 (361) 694-4444

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78411 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Other Providers at the Same Location NPPES 20

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

VANESSA CASANOVA GONZALEZ M.D.

Pediatrics