| Dr Samuel T Johnson Sr, MD | |
|
4235 Highway 51 S, Brighton, TN 38011-6921 | |
| (901) 475-4752 | |
| (901) 475-1554 |
| Full Name | Dr Samuel T Johnson Sr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 4235 Highway 51 S, Brighton, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457304131 | NPI | - | NPPES |
| 3718265 | Medicaid | TN | |
| 141592 | Other | BETTER HEALTH UNISON | |
| 268267 | Other | TN | UNISON ADVANTAGE |
| 4309182 | Other | TN | BCBSTN INDIVIDUAL |
| 3017954 | Other | TN | CIGNA |
| 27017 | Other | TN | TLC |
| 1525754 | Medicaid | TN | |
| 4063363 | Other | TN | BCROSS |
| 4229920 | Other | TN | BCBSTN |
| 4909218 | Other | TN | BCBCTN GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD11374 (Tennessee) | Primary |
| Entity Name | Johnson Clinic Of Covington, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376837260 PECOS PAC ID: 0941473185 Enrollment ID: O20111102000924 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel T Johnson Sr, MD Po Box 507, Covington, TN 38019-0507 Ph: (901) 475-4752 | Dr Samuel T Johnson Sr, MD 4235 Highway 51 S, Brighton, TN 38011-6921 Ph: (901) 475-4752 |
Buffy J Cook, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1880 Old Hwy 51 Suite C, Brighton, TN 38011 Phone: 901-837-7979 Fax: 901-837-7999 | |
Michael Scott Craig, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1880 Old Hwy 51, Suite C, Brighton, TN 38011 Phone: 901-837-7979 Fax: 901-837-7999 | |
Jenipher E Chaney, ANP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1880 Old Hwy 51 Suite C, Brighton, TN 38011 Phone: 901-837-7979 Fax: 901-837-7999 |