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

Dr. Scott R Johnson, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1780638007

Dr. Scott R Johnson, MD is a Family Practice in Jackson, Tennessee. Graduated from Medical College of Georgia School of Medicine in 2000, 26 years ago. Practices with Jackson Clinic PA, a 176-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
26
Trained at
Medical College of Georgia School of Medicine
Licensed in
TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2859 Highway 45 Byp
Jackson, TN 38305-3618
Phone: (731) 660-8360
Fax: (731) 660-8377
Show map & directions

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

Additional practice locations (1)

  • 2863 Highway 45 Byp, Jackson, TN 38305-3618 — (731) 422-0213

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD46687 (TN)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence MD46687 (TN)

Record details

NPI number1780638007
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2006
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025
Mailing addressPo Box 400, Jackson, TN 38302-0400

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Jackson Clinic Pa — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount