Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Idella Johnson, PA-C

Physician Assistant in Tazewell, TN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073554523

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Registry record

Entity type Individual (Type 1)

Name Idella Johnson

Credential PA-C

Sex Female

Practice address 1610 Tazewell Rd, Suite 201, Tazewell, TN, 37879

Phone (423) 626-8393

Fax (423) 626-8749

Enumeration date Jun 8, 2006

Last updated in NPPES Dec 16, 2015

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 670 (TN) Primary

Other identifiers

Identifier	Type	State	Issuer
3669471	Medicaid	TN	-
4058153	Other	TN	BCBS OF TENNESSEE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1073554523 active?

Yes, as of the latest NPPES snapshot, NPI 1073554523 is active (record last updated 2015-12-16).

How do I verify Idella Johnson's NPI record?

Cross-check NPI 1073554523 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-12-16.