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KIMBERLY SANDERS JOHNSON PA
NPI 1821320656
Physician Assistant - Surgical in Knoxville, TN

Active since February 04, 2010PECOS Enrolled
9430 PARK WEST BLVD, # 130, KNOXVILLE, TN 37923(865) 690-4861(865) 560-8252 Get Directions Write a Review

NPPES record last updated: February 1, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly Sanders Johnson Pa NPPES

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

KIMBERLY SANDERS JOHNSON PA (NPI 1821320656) is an individual surgical provider in Knoxville, Tennessee, licensed in Tennessee (TEMPORARY PERMIT) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821320656
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKIMBERLY SANDERS JOHNSONCredential: PA
Location Address9430 PARK WEST BLVD, # 130Knoxville, TN 37923-4200
Mailing AddressPo Box 32569Knoxville, TN 37930-2569 · (865) 694-0062 · Fax (865) 694-7907
Phone(865) 690-4861
Fax(865) 560-8252
Sole ProprietorNo
Enumeration DateFebruary 4, 2010
Last NPPES UpdateFebruary 1, 2013
✔ NPI 1821320656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TN · TEMPORARY PERMIT
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA0000001820 (TN)
9430 PARK WEST BLVD, Knoxville, TN 37923
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Other Identifiers 2

Medicare PIN103I970670TN
Medicare NSC0677340001TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Sanders Johnson Pa 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit for problem of high severity 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
29 services29 patients
Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
26 services26 patients
Emergency department visit for problem of moderate severity 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients

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.

DR. CLIFFORD Q JOHNSON,JR M.D.
Otolaryngology
9430 PARK WEST BLVD, STE 330
KNOXVILLE, TN 37923
Knox County (865) 693-6065
JAMES L SEALS M.D.
Otolaryngology
9430 PARK WEST BLVD, STE 330
KNOXVILLE, TN 37923
Knox County (865) 693-6065
MR. DANIEL J BUTLER AUDIOLOGIST
Audiologist
9430 PARK WEST BLVD, STE 330
KNOXVILLE, TN 37923
Knox County (865) 693-6065
MICHAEL TAITE SEALS M.D.
Otolaryngology
9430 PARK WEST BLVD
KNOXVILLE, TN 37923
Knox County (865) 693-6065
DAVID G SEXTON M.D.
Otolaryngology
9430 PARK WEST BLVD, STE 330
KNOXVILLE, TN 37923
Knox County (865) 693-6065
SAMUEL MARK OVERHOLT M.D.
Otolaryngology
9430 PARK WEST BLVD
KNOXVILLE, TN 37923
Knox County (865) 693-6065
MRS. LISA CAROL SCHUTT ATC
Specialist/Technologist (Athletic Trainer)
9430 PARK WEST BLVD, SUITE 230
KNOXVILLE, TN 37923
Knox County (865) 560-8550
RONALD H TOLLIVER OT
Occupational Therapist
9430 PARK WEST BLVD, SUITE 230
KNOXVILLE, TN 37923
Knox County (865) 560-8550

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 Kimberly Johnson's NPI number?

The NPI number for Kimberly Johnson is 1821320656. It was assigned to this individual provider in the NPPES registry on February 4, 2010.

Where is Kimberly Johnson located?

Kimberly Johnson practices at 9430 Park West Blvd # 130, Knoxville, TN 37923. The listed phone number is (865) 690-4861.

What is Kimberly Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kimberly Johnson enrolled in Medicare?

Yes. Kimberly Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Johnson was last updated on February 1, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.