MR. CASEY LOUIS JOHNSON (NPI# 1174926372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174926372 |
| Entity Type | Individual |
| Full Name | MR. CASEY LOUIS JOHNSON |
| Credential | PA-C |
| Practice Address |
1519 Main St Sneedville TN 37869-3657 |
| Mailing Address |
105 W Stone Dr Ste 6a Kingsport TN 37660-3256 |
| Practice Telephone | 4237332507 |
| Practice Fax Number | 4237325075 |
| Mailing Telephone | 4234087220 |
| Mailing Fax Number | 4234087405 |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2019-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2638 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770114563 | Casey Leigh Johnson | Counselor | 1198 De La Palma Ave, Bartow, FL 33830-7317 | 2020-01-30 |
| 1811478993 | Casey Leigh Johnson | Registered Nurse | 1109 Broadmoor St, Amarillo, TX 79106-5530 | 2018-08-27 |
| 1992321566 | Casey Daniel Edward Johnson | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 2009b, Saint Louis, MO 63141-8265 | 2020-06-19 |
| 1003445271 | Casey Alexander Johnson | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-04-08 |
| 1861024051 | Casey Johnson | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-02-06 |
| 1154882694 | Casey Ray Johnson | Pediatrics | 200 1st St Sw, Rochester, MN 55905-0001 | 2019-03-27 |
| 1245694389 | Casey Johnson | Counselor | 420 Ne 5th St, Mcminnville, OR 97128-4603 | 2016-04-05 |
| 1174994057 | Casey Johnson | Physical Therapy Assistant | 214 Hope Landing Rd, El Dorado, AR 71730-8725 | 2015-10-17 |
| 1013349919 | Casey Lynn Johnson | Registered Nurse | 104 Barnes St, Oceanside, CA 92054-3406 | 2013-08-01 |
| 1093054033 | Casey Benjamin Johnson | Physician Assistant | 9430 Park West Blvd Ste 310, Knoxville, TN 37923-4203 | 2013-02-12 |
| Street Address |
1519 MAIN ST |
| City | SNEEDVILLE |
| State | TN |
| Zip Code | 37869-3657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880242 | John Anthony Short | Family Medicine | 1519 Main St, Sneedville, TN 37869-3657 | 2005-06-13 |
| 1336170828 | Roland Timothy O'leary | Emergency Medicine | 1519 Main St, Sneedville, TN 37869-3657 | 2006-07-05 |
| 1245261734 | Wayne C Page | Emergency Medicine | 1519 Main St, Sneedville, TN 37869-3657 | 2006-07-05 |
| 1225068711 | Wellmont Health System | Medicare Defined Swing Bed Unit | 1519 Main St, Sneedville, TN 37869 | 2006-07-03 |
| 1053340158 | Wellmont Health System | General Acute Care Hospital | 1519 Main St, Sneedville, TN 37869 | 2006-07-01 |
| 1619905692 | Bradly Shane Holland | Emergency Medicine | 1519 Main St, Sneedville, TN 37869-3657 | 2006-06-29 |
| 1720029614 | Craig Jerome Lenz | Emergency Medicine | 1519 Main St, Sneedville, TN 37869-3657 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568905925 | Wellmont Health System | Clinic/Center | 1519 Main Street, Sneedville, TN 37869 | 2016-12-02 |
| 1881833192 | Truett Haze Pierce | Family Medicine | 215 Circle Drive, Sneedville, TN 37869 | 2009-02-10 |
| 1740491638 | Allison Lawson | Pharmacist | 1267 Main Street, Sneedville, TN 37869 | 2007-05-24 |
| 1558490482 | Detra Lynn Lewis | Pharmacist | 1260 West Main Street, Sneedville, TN 37869 | 2007-03-05 |
| 1306985981 | Sally June Morris | Registered Nurse | 178 Willow St., Sneedville, TN 37869 | 2007-02-06 |
| 1255470811 | Margaret Ruth Wilson | Registered Nurse | 178 Willow Street, Sneedville, TN 37869 | 2007-02-06 |
| 1073674933 | County of Hancock | Home Health | 1246 Main Street, Sneedville, TN 37869 | 2006-12-13 |
| 1881798569 | Jennifer Michelle Herron | Licensed Practical Nurse | 333 Campbell Dr, Sneedville, TN 37869 | 2006-09-12 |
| 1043314735 | Martha Jane Brooks | Social Worker | 333 Campbell Drive, Sneedville, TN 37869 | 2006-09-12 |
| 1194833251 | Ken B Smith | Pharmacist | 140 Church Street, Sneedville, TN 37869 | 2006-08-28 |
| Find all providers in zip 37869 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629072160 | John Douglas Snowden | Physician Assistant | 1861 Main St, Sneedville, TN 37869-3645 | 2005-06-13 |
| 1467735365 | Tonya Sherell Skidmore | Physician Assistant | 1861 Main St, Sneedville, TN 37869-3645 | 2011-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737354 | Adrienne Smith | Physician Assistant | 5200 Park Ave Ste 100, Memphis, TN 38119-3505 | 2020-10-12 |
| 1417555459 | Kaitlyn Jones | Physician Assistant | 1229 Reserve Blvd Ste 200, Spring Hill, TN 37174-3274 | 2020-10-12 |
| 1861099491 | Caraline Berlynn Mcdowell | Physician Assistant | 284 Clearlake Dr W, Nashville, TN 37217-4547 | 2020-10-06 |
| 1508463365 | Logan Curran Martin | Physician Assistant | 5431 Edmondson Pike # 10, Nashville, TN 37211-5806 | 2020-10-05 |
| 1487261798 | Charity Grace Coppedge | Physician Assistant | 105 Twin Oaks Dr, Nashville, TN 37211-2765 | 2020-09-30 |
| 1316554884 | Brianna Bingham | Physician Assistant | 619 Blizzard Mines Rd, Harriman, TN 37748-3852 | 2020-09-28 |
| 1871100586 | Emily Philpott | Physician Assistant | 905 20th Ave S Apt 1306, Nashville, TN 37203-2672 | 2020-09-27 |
| 1063028876 | Emma Landers | Physician Assistant | 1534 Douglas Ave, Nashville, TN 37206-2309 | 2020-09-17 |
| 1730795527 | Melanie Rees | Physician Assistant | 111 33rd Ave S Apt 102, Nashville, TN 37212-3241 | 2020-09-17 |
| 1265048268 | Olivia Meers | Physician Assistant | 1080 Cedarview Ln, Franklin, TN 37067-4068 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
| City | SNEEDVILLE |
| Zip Code | 37869 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.