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Active NPI 1073554523 Individual Practitioner Female Practitioner

Idella Johnson , PA-C

Physician Assistant • Tazewell, TN

Professional Overview & Biography Verified Profile Summary

Idella Johnson, PA-C is a registered healthcare professional specializing in Physician Assistant in Tazewell, TN. Practice services are available at 1610 TAZEWELL RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1610 Tazewell Rd
Suite 201

Tazewell, TN 378793600

Telephone 4236268393
Fax 4236268749
Associated Practice Facility / Clinic
🏢 Drs Rose & Thomas Facility NPI 1891741914

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tazewell, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.5 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Tazewell, TN (3096 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
40 37 $132.00 $58.53

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TN 670

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3669471 (TN)
Commercial Insurance / Payer ID Bcbs Of Tennessee
4058153 (TN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Jami England , ARNP

Nurse Practitioner - Family

NPI 1861488504

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 16, 2015

Registered at 1610 TAZEWELL RD, SUITE 201, TAZEWELL, TN 378793600 (Tel: 4236268393)

📍
Updated Business Mailing Address December 16, 2015

Registered at 1610 TAZEWELL RD, SUITE 201, TAZEWELL, TN 378793600 (Tel: 4236268393)

👤
Provider Name / Credentials Updated December 16, 2015

Recorded as IDELLA JOHNSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2015

Physician Assistant (License #670 in TN)

🟢
Initial NPI Registration & Enumeration June 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073554523
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2006
Last Update: December 16, 2015
Sole Proprietor: No

Mailing Address

1610 Tazewell Rd, Suite 201

Tazewell, TN 378793600

Phone: 4236268393

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.