Individual
MARK W JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2125 W EMORY RD, POWELL, TN 37849-3704
(865) 938-7517
(865) 938-1067
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
029781
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3819183
—
TN
01
—
P00351984
RR MEDICARE PIN
TN
Enumeration date
07/12/2005
Last updated
04/27/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us