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

Cameron Dewayne Johnson

Individual provider Emergency Registered Nurse · NPI 1265170856

Cameron Dewayne Johnson is a Nurse Practitioner in Chattanooga, Tennessee. Qualified in 2022, 4 years ago. Practices with Tennessee River Physicians, PLLC, a 65-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1755 Gunbarrel Rd
Chattanooga, TN 37421-7137
Phone: (423) 680-8534
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 979 E 3rd St, Chattanooga, TN 37403-2136 — (423) 778-7296

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 31966 (TN)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 205373 (TN)

Record details

NPI number1265170856
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 24, 2022
Last updated in NPPESJuly 26, 2024
Certification dateJuly 26, 2024
Mailing address3404 Coach Dr, Hixson, TN 37343-3372

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tennessee River Physicians, Pllc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Chattanooga