Victoria White Johnson, PA-C - Medicare Physician Assistant in Johnson City, TN

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Victoria White Johnson, PA-C is a medicare enrolled "Physician Assistant" in Johnson City, Tennessee. She went to Lincoln Memorial University Medical Department and graduated in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Blue Ridge Medical Management Corporation, National Addiction Specialists Llc and her current practice location is 403 N State Of Franklin Rd, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 431-7042.

Victoria White Johnson is licensed to practice in Tennessee (license number 3679) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770079675.

Contact Information

Victoria White Johnson, PA-C
403 N State Of Franklin Rd,
Johnson City, TN 37604
(423) 431-7042
(423) 431-9042

Map and Direction




Provider's Profile

Full NameVictoria White Johnson
GenderFemale
SpecialityPhysician Assistant
Experience8 Years
Location403 N State Of Franklin Rd, Johnson City, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Victoria White Johnson attended and graduated from Lincoln Memorial University Medical Department in 2018
  NPI Data:
  • NPI Number: 1770079675
  • Provider Enumeration Date: 07/03/2018
  • Last Update Date: 07/17/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6709122500
  • Enrollment ID: I20190116001224

Medical Identifiers

Medical identifiers for Victoria White Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770079675NPI-NPPES
3679OtherTNSTATE LICENSES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 3679 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Blue Ridge Medical Management Corporation9739099441283
National Addiction Specialists Llc125470995916

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Victoria White Johnson allows following entities to bill medicare on her behalf.
Entity NameBlue Ridge Medical Management Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144380833
PECOS PAC ID: 9739099441
Enrollment ID: O20031204000996
Entity NameState of Franklin Healthcare Associates, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063459410
PECOS PAC ID: 2466346291
Enrollment ID: O20040211001101
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780986257
PECOS PAC ID: 8123291739
Enrollment ID: O20111026000909
Entity NameNational Addiction Specialists LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477186336
PECOS PAC ID: 1254709959
Enrollment ID: O20221130003665

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. Victoria White Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Victoria White Johnson, PA-C
403 N State Of Franklin Rd,
Johnson City, TN 37604-6034

Ph: (423) 431-7042		Victoria White Johnson, PA-C
403 N State Of Franklin Rd,
Johnson City, TN 37604

Ph: (423) 431-7042

Reviews and Comments


Physician Assistant Nurses in Johnson City, TN

Kevin Ray Hudson, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 410 N State Of Franklin Rd Ste 140, Johnson City, TN 37604
Phone: 423-431-2460    Fax: 423-431-2465
Mikayla L. Bogulski,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2410 Susannah St, Johnson City, TN 37601
Phone: 423-282-9011    Fax: 423-282-0035
Chris F Strawn, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 408 N State Of Franklin Rd Ste 12, Johnson City, TN 37604
Phone: 423-431-4946    
Samuel William Cook Iii, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2410 Susannah Street, Johnson City, TN 37601
Phone: 423-282-9011    Fax: 423-282-0035
Natalie Bateson, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 310 N State Of Franklin Rd Ste 303, Johnson City, TN 37604
Phone: 423-926-8181    Fax: 423-926-4421
Mckenzie Pearl Gregg, PA-C, MMS, MPH
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 400 N State Of Franklin Rd, Johnson City, TN 37604
Phone: 423-431-6111    
Miranda Elizabeth Ledford, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3 Professional Park Dr Ste 31, Johnson City, TN 37604
Phone: 423-434-3570    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.