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

Corey Lee Johnson

Individual provider Certified Registered Nurse Anesthetist · NPI 1740938018

Corey Lee Johnson is a Certified Registered Nurse Anesthetist (CRNA) in Jackson, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2022, 4 years ago. Practices with Medical Center Anesthesia, Inc, a 108-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
4
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2022
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Practice location Address checks out

620 Skyline Dr
Jackson, TN 38301-3923
Phone: (731) 541-7070
Fax: (731) 541-7075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 877 Jefferson Ave, Memphis, TN 38103-2807 — (901) 545-6286

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 31745 (TN)

Record details

NPI number1740938018
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 15, 2022
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023
Mailing address46 Lynwood St, Lexington, TN 38351-1316

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Medical Center Anesthesia, Inc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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