Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VICTORIA WHITE JOHNSON PA-C
NPI 1770079675
Physician Assistant in Johnson City, TN

Q: What is Victoria Johnson's NPI number?

The NPI number for Victoria Johnson is 1770079675. It was assigned to this individual provider in the NPPES registry on July 3, 2018. The provider is also known as Victoria P White Pa-C.

Q: What is Victoria Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Victoria Johnson was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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 July 03, 2018PECOS Enrolled

403 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 431-7042(423) 431-9042 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2026, Dec 29, 2025, Apr 9, 2020 and 3 more (6 updates tracked since 2018).

On this page

About Victoria White Johnson Pa-c NPPES

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

VICTORIA WHITE JOHNSON PA-C (NPI 1770079675) is an individual physician assistant in Johnson City, Tennessee, licensed in Tennessee (3679) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Lincoln Memorial University Medical Department (2018).

NPPES Registry Identity

NPI1770079675

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameVICTORIA WHITE JOHNSONCredential: PA-C

Location Address403 N STATE OF FRANKLIN RDJohnson City, TN 37604

Mailing Address403 N State Of Franklin RdJohnson City, TN 37604-6034 · (423) 431-7042

Phone(423) 431-7042

Fax(423) 431-9042

Sole ProprietorNo

Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2018

Enumeration DateJuly 3, 2018

Last NPPES UpdateJuly 17, 20266 updates tracked since enumeration

NPPES CertifiedJuly 17, 2026

✔ NPI 1770079675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TN · 3679

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

403 N STATE OF FRANKLIN RD, Johnson City, TN 37604

Open in Google Maps ↗

Other Names 1

Former Name (1)Victoria P White Pa-c

Secondary Practice Locations 4

Location 17501 Fannin St Ste 702Houston, TX 77054-1938 · Phone (615) 994-1000 · Fax (615) 994-0100

Location 2301 Med Tech Pkwy Ste 240Johnson City, TN 37604-2641 · Phone (423) 794-5520 · Fax (423) 282-6940

Location 35511 Virginia Way Ste 300Brentwood, TN 37027-7611 · Phone (615) 994-1000 · Fax (615) 994-0100

Location 43415 Greystone Dr Ste 102AAustin, TX 78731-2314 · Phone (737) 381-1717 · Fax (737) 381-1717

Other Identifiers 1

Other3679TN · State Licenses

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

Victoria White Johnson Pa-c 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 ID6709122500

PECOS Enrollment IDI20190116001224

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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

$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.

MOUNTAIN STATES HEALTH ALLIANCE

Psychiatric Unit