DR. JAMES S JOHNSON MD
NPI 1851357578
Family Medicine in Crossville, TN

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment
137 OBRIEN DR STE 101, CROSSVILLE, TN 38555(931) 484-2220(931) 484-2225 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 5, 2026, Apr 2, 2019 (2 updates tracked since 2019).

About Dr. James S Johnson Md NPPES

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

DR. JAMES S JOHNSON MD (NPI 1851357578) is an individual family medicine provider in Crossville, Tennessee, licensed in Tennessee (MD30511) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1851357578
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES S JOHNSONCredential: MD
Location Address137 OBRIEN DR STE 101Crossville, TN 38555-8751
Mailing Address137 Obrien Dr Ste 101Crossville, TN 38555-8751 · (931) 484-2220 · Fax (931) 484-2225
Fax(931) 484-2225
Sole ProprietorYes
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1995
Enumeration DateApril 21, 2006
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
NPI 1851357578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · MD30511
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.

137 OBRIEN DR STE 101, Crossville, TN 38555

Secondary Practice Locations 3

Location 1229 Interstate Dr, Suite 105Crossville, TN 38555-2709 · Phone (931) 484-2220 · Fax (931) 484-2225
Location 21720 West Ave Ste 1Crossville, TN 38555-4066 · Phone (931) 484-2220 · Fax (931) 484-2225
Location 34147 Highway 127 N Ste 102Crossville, TN 38571-7521 · Phone (931) 484-2220 · Fax (931) 484-2225

Other Identifiers 1

Medicaid3806366TN

Accepted 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

Dr. James S Johnson Md 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 ID1355492844
PECOS Enrollment IDI20090623000461
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 13

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
596 services192 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
109 services23 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
96 services96 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
91 services50 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
82 services82 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
45 services27 patients

Hospital Affiliations CMS Care Compare

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38555 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
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 28

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
1 supplier12 claims156 services$19.04 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
1 supplier12 claims360 services$2.40 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers54 claims158 services$6.38 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers26 claims43 services$1.17 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers44 claims44 services$41.36 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier13 claims26 services$53.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Primary Care)
137 OBRIEN DR STE 101
CROSSVILLE, TN 38555
Family Medicine
137 OBRIEN DR STE 101
CROSSVILLE, TN 38555

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 James Johnson's NPI number?

The NPI number for James Johnson is 1851357578. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is James Johnson located?

James Johnson practices at 137 Obrien Dr Ste 101, Crossville, TN 38555. The listed phone number is (931) 484-2220.

What is James Johnson's specialty?

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

Is James Johnson enrolled in Medicare?

Yes. James 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.

What insurance does James Johnson accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list James Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Johnson affiliated with any hospitals?

According to CMS data, James Johnson is affiliated with Cumberland Medical Center.

When was this NPI record last updated?

The NPPES record for James Johnson was last updated on June 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.