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

Mrs. Tatum Mayfield Johnson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124632187

Mrs. Tatum Mayfield Johnson is a Nurse Practitioner in Hattiesburg, Mississippi. Qualified in 2020, 6 years ago. Practices with Exceed Physical Therapy, LLC, a 70-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2020
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6766 U S Highway 98
Hattiesburg, MS 39402-8443
Phone: (601) 549-4877
Fax: (601) 901-6061
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 4297 H/Wy 42, Bassfield, MS 39421 — (601) 550-3153

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 904349 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124632187
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 6, 2020
Last updated in NPPESOctober 4, 2024
Certification dateOctober 2, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Exceed Physical Therapy, Llc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Hattiesburg