Tiara Alivia Johnson, in Olive Branch, MS

Tiara Alivia Johnson, is a Physician Assistant based in Olive Branch, Mississippi. Tiara Alivia Johnson is licensed to practice in * (Not Available) (license number ) and her current practice location is 8061 Falcon Dr, Olive Branch, Mississippi. She can be reached at her office (for appointments etc.) via phone at (901) 605-1573.

NPI number for Tiara Alivia Johnson is 1154217909 and her current mailing address is 8061 Falcon Dr, Olive Branch, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154217909.

Contact Information

	Tiara Alivia Johnson,
	8061 Falcon Dr, Olive Branch, MS 38654-5619
	(901) 605-1573
	Not Available

Map and Direction

Provider's Profile

Full Name	Tiara Alivia Johnson
Gender	Female
Speciality	Physician Assistant
Location	8061 Falcon Dr, Olive Branch, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1154217909
Provider Enumeration Date: 06/17/2025
Last Update Date: 06/17/2025

Medical Identifiers

Medical identifiers for Tiara Alivia Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154217909	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tiara Alivia Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tiara Alivia Johnson, 8061 Falcon Dr, Olive Branch, MS 38654-5619 Ph: (901) 605-1573	Tiara Alivia Johnson, 8061 Falcon Dr, Olive Branch, MS 38654-5619 Ph: (901) 605-1573

Reviews and Comments

Physician Assistant Nurses in Olive Branch, MS

Joyce Denice Kildow, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 662-932-9111
Neha Patel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 662-932-9000
Victoria Haynes Holt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5480 Goodman Rd Ste 1, Olive Branch, MS 38654 Phone: 662-874-6507 Fax: 662-932-8197

Tiara Alivia Johnson, - Physician Assistant in Olive Branch, MS