Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Leane Smith Johnson, PA-C

Individual provider Surgical Physician Assistant · NPI 1699354415

Jessica Leane Smith Johnson, PA-C is a Physician Assistant in Kingsport, Tennessee. Qualified in 2021, 5 years ago. Practices with Wps Providers Inc, a 83-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2202 N John B Dennis Hwy Ste 204
Kingsport, TN 37660-5904
Phone: (423) 245-1040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6555 (TN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 6555 (TN)

Record details

NPI number1699354415
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 7, 2021
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Wps Providers Inc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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