Individual provider

Michael Johnson, P.A.-C

Medical Physician Assistant Medicare enrolled

Michael Johnson, P.A.-C is a Medical Physician Assistant in Tullahoma, TN, registered under NPI 1679738272.

Getting there

The practice address on file is 1802 N JACKSON ST, Tullahoma, TN 37388. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1802 N JACKSON ST, Tullahoma, TN 37388 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
1564 TN Medical Physician Assistant primary

This provider holds licence 1564 issued in TN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
8628267424
Enrollment ID
I20110110000643

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Medical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1679738272 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 23, 2008
Last updatedAug 8, 2011
StatusActive
Sole proprietorNo
CredentialP.A.-C
Practice address 1802 N JACKSON ST
Tullahoma, TN 37388
(931) 455-4529
Fax (931) 455-4633
Mailing address 1802 NORTH JACKSON STREET SUITE 8
Tullahoma, TN 37388
This record was last updated on Aug 8, 2011, roughly 15 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1679738272 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 7 9 7 3 8 2 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 5 9 5 3 7 2 5

Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1679738272?
NPI 1679738272 is the National Provider Identifier assigned to Michael Johnson, P.A.-C in Tullahoma, TN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Medical cover?
Definition to come...
How do I contact Michael Johnson, P.A.-C?
The phone number on file with NPPES is (931) 455-4529, last updated Aug 8, 2011. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Michael Johnson, P.A.-C accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1679738272 a valid number?
Yes. 1679738272 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.