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

Mr. Michael Frederick Johnson, PA-C

Individual provider Medical Physician Assistant · NPI 1679738272

Mr. Michael Frederick Johnson, PA-C is a Physician Assistant in Tullahoma, Tennessee. Qualified in 2007, 19 years ago. Practices with Crossroads Urgent Care PLLC, a 179-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
19
Licensed in
TN
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1802 N Jackson St
Tullahoma, TN 37388-8218
Phone: (931) 455-4529
Fax: (931) 455-4633
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1564 (TN)

Record details

NPI number1679738272
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 23, 2008
Last updated in NPPESAugust 8, 2011
Mailing address1802 North Jackson Street, Suite 8, Tullahoma, TN 37388

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Crossroads Urgent Care Pllc — 179 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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