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MRS. TARA RENEE JOHNSON M.S., CCC/SLP
NPI 1770758286
Speech-Language Pathologist in Lillington, NC

Active since April 25, 2008Accepts Medicare Assignment
1995 E CORNELIUS HARNETT BLVD, LILLINGTON, NC 27546(919) 800-7445(919) 814-0890 Get Directions Write a Review

NPPES record last updated: May 4, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Tara Renee Johnson M.s., Ccc/slp NPPES

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

MRS. TARA RENEE JOHNSON M.S., CCC/SLP (NPI 1770758286) is an individual speech-language pathologist provider in Lillington, North Carolina, licensed in North Carolina (7970) and active in the NPI registry since April 2008. She is a graduate of Other (1992).

NPPES Registry Identity

NPI1770758286
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. TARA RENEE JOHNSONCredential: M.S., CCC/SLP
Location Address1995 E CORNELIUS HARNETT BLVDLillington, NC 27546-8276
Mailing Address1995 E Cornelius Harnett BlvdLillington, NC 27546-8276
Phone(919) 800-7445
Fax(919) 814-0890
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateApril 25, 2008
Last NPPES UpdateMay 4, 2010
✔ NPI 1770758286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NC · 7970
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1995 E CORNELIUS HARNETT BLVD, Lillington, NC 27546
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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

Mrs. Tara Renee Johnson M.s., Ccc/slp 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 ID9739526823
PECOS Enrollment IDI20240325003472

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.

Paragon Outpatient Rehabilitation Services, LLC
425 mi
Rehabilitation
303 N HURSTBOURNE PKWY STE 200
Louisville, KY 40222
  • Reassigned Medicare billing, North Carolina enrollment
  • 165 clinicians in this Medicare group
NPI 1871867325 (800) 335-1060

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

Other Providers at the Same Location NPPES 15

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

MRS. STACY A RYMAN COTA
Occupational Therapy Assistant
1995 E CORNELIUS HARNETT BLVD, UNIVERSAL HEALTHCARE
LILLINGTON, NC 27546
Harnett County (910) 814-0880
MRS. SUSAN M ALVELO PTA
Physical Therapy Assistant
1995 E CORNELIUS HARNETT BLVD
LILLINGTON, NC 27546
Harnett County (910) 814-0880
KAREN MICHELLE CUMBIE LPTA
Physical Therapist (Geriatrics)
1995 E CORNELIUS HARNETT BLVD
LILLINGTON, NC 27546
Harnett County (910) 893-5141
UNIVERSAL HEALTH CARE LILLINGTON, INC.
Skilled Nursing Facility
1995 E CORNELIUS HARNETT BLVD
LILLINGTON, NC 27546
Harnett County (910) 893-5141
JESSICA RENEE MITCHELL
Occupational Therapist
1995 E CORNELIUS HARNETT BLVD
LILLINGTON, NC 27546
Harnett County (910) 893-5141
JENNIFER LYNN MAHOVLICH OTRL
Occupational Therapist
1995 E CORNELIUS HARNETT BLVD
LILLINGTON, NC 27546
Harnett County (910) 814-0880
DONNA HELLOWELL
Physical Therapy Assistant
1995 E CORNELIUS HARNETT BLVD
LILLINGTON, NC 27546
Harnett County (910) 814-0880
AMY MARIE FARMER COTA
Occupational Therapy Assistant
1995 E CORNELIUS HARNETT BLVD
LILLINGTON, NC 27546
Harnett County (919) 814-0880

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 Tara Johnson's NPI number?

The NPI number for Tara Johnson is 1770758286. It was assigned to this individual provider in the NPPES registry on April 25, 2008.

Where is Tara Johnson located?

Tara Johnson practices at 1995 E Cornelius Harnett Blvd, Lillington, NC 27546. The listed phone number is (919) 800-7445.

What is Tara Johnson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Tara Johnson enrolled in Medicare?

Yes. Tara Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tara Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Johnson reassigns Medicare benefits to Paragon Outpatient Rehabilitation Services, LLC (Louisville, KY). The 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 Tara 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 Tara Johnson was last updated on May 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.