Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annalysa M Johnson, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1306101282

Annalysa M Johnson, DO is an Obstetrics/Gynecology in Maryville, Tennessee. Qualified in 2012, 14 years ago. Practices with Champion Physical Therapy LLC Halls, a 280-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
14
Licensed in
TN
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

270 Bmh Physicians Ofc Bldg
Maryville, TN 37804-3780
Phone: (865) 546-1642
Fax: (833) 396-2528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 2972 (TN)

Record details

NPI number1306101282
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 7, 2012
Last updated in NPPESApril 15, 2024
Certification dateApril 15, 2024
Mailing address270 Bmh Physician Office Building, Maryville, TN 37804-1532

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Champion Physical Therapy Llc Halls — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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