DAVID BRYAN JOHNSON MD - NPI 1811974926 - Family Medicine in Chattanooga, TN

Q: What is David Johnson's NPI number?

The NPI number for David Johnson is 1811974926. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Q: What is David Johnson's specialty?

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

Q: Is David Johnson enrolled in Medicare?

No. David Johnson has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for David Johnson was last updated on October 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

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About David Bryan Johnson Md NPPES

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

DAVID BRYAN JOHNSON MD (NPI 1811974926) is an individual family medicine provider in Chattanooga, Tennessee, licensed in Georgia (049908) and active in the NPI registry since December 2005. He has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1811974926

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDAVID BRYAN JOHNSONCredential: MD

Location Address4411 OAKWOOD DRChattanooga, TN 37416-2367

Mailing Address3310 West End Ave 590Nashville, TN 37203-1260 · (615) 913-5086 · Fax (888) 494-2588

Phone(423) 892-4289

Sole ProprietorYes

Enumeration DateDecember 29, 2005

Last NPPES UpdateOctober 8, 2015

✔ NPI 1811974926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 049908

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.

4411 OAKWOOD DR, Chattanooga, TN 37416

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Other Identifiers 8

Other89064FNNC · Medicaid Nc

Medicare UPINH37281GA

Other000905121CGA · Medicaid Ga

Other0102830GA · United Healthcare

Medicare ID-Type Unspecified08BBWVNGA · Individual Medicare Numbe

Medicare ID-Type UnspecifiedGRP4632GA · Medicare Group Number

Other841074GA · Blue Cross Blue Shield

OtherP00048268GA · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

David Bryan Johnson Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

JENNIFER ANNE MONTGOMERY FNP-BC

Nurse Practitioner (Family)