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

Mary Beth Johnson, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1891154092

Mary Beth Johnson, AGACNP is a Nurse Practitioner in Knoxville, Tennessee. Qualified in 2015, 11 years ago. Practices with Covenant Medical Group Inc, a 356-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
11
Licensed in
TN
In the registry since
2016
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Practice location Address checks out

9330 Park West Blvd
Knoxville, TN 37923-4308
Phone: (865) 373-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 020752 (TN)

Record details

NPI number1891154092
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedFebruary 16, 2016
Last updated in NPPESSeptember 16, 2020
Certification dateSeptember 16, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Covenant Medical Group Inc — 356 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Knoxville