COREY LEE JOHNSON
NPI 1740938018
Nurse Anesthetist, Certified Registered in Jackson, TN

Q: What is Corey Johnson's NPI number?

The NPI number for Corey Johnson is 1740938018. It was assigned to this individual provider in the NPPES registry on March 15, 2022.

Q: What is Corey Johnson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Corey Johnson was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 15, 2022Accepts Medicare Assignment

620 SKYLINE DR, JACKSON, TN 38301(731) 541-7070(731) 541-7075 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2023, May 24, 2022 (2 updates tracked since 2022).

On this page

About Corey Lee Johnson NPPES

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

COREY LEE JOHNSON (NPI 1740938018) is an individual nurse anesthetist, certified registered in Jackson, Tennessee, licensed in Tennessee (31745) and active in the NPI registry since March 2022. He is affiliated with Jackson-madison County General Hospital, maintains a secondary practice location in Memphis, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2022).

NPPES Registry Identity

NPI1740938018

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameCOREY LEE JOHNSON

Location Address620 SKYLINE DRJackson, TN 38301-3923

Mailing Address46 Lynwood StLexington, TN 38351-1316 · (731) 602-0757

Phone(731) 541-7070

Fax(731) 541-7075

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2022

Enumeration DateMarch 15, 2022

Last NPPES UpdateMarch 17, 20232 updates tracked since enumeration

NPPES CertifiedMarch 17, 2023

✔ NPI 1740938018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in TN · 31745

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

620 SKYLINE DR, Jackson, TN 38301

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Secondary Practice Location 1

Location 1877 Jefferson AveMemphis, TN 38103-2807 · Phone (901) 545-6286 · Fax (901) 545-8122

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Corey Lee Johnson 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 ID6608256714

PECOS Enrollment IDI20220707001629

Medicare Billing Reassignments

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

Medical Center Anesthesia Inc.

Same address

Anesthesiology

620 SKYLINE DR
Jackson, TN 38301

Reassigned Medicare billing, Tennessee enrollment
190 clinicians in this Medicare group

NPI 1447591730 (833) 500-9913

Resource Anesthesiology Associates Of Tn PC

75 mi

Anesthesiology

1265 UNION AVE
Memphis, TN 38104

Reassigned Medicare billing, Tennessee enrollment
255 clinicians in this Medicare group

NPI 1316724073 (877) 580-2303

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440002

Location620 Skyline DriveJackson, TN 38301 · Madison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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 20

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

ASHLEY BROOKE OLDHAM PORTER M.D.

Pathology (Anatomic Pathology & Clinical Pathology)