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

Randi Michelle Johnson, PA

Individual provider Physician Assistant · NPI 1114890720

Randi Michelle Johnson, PA is a Physician Assistant in Harrogate, Tennessee. Qualified in 2025, 1 year ago. Practices with Cep America - California, a 1,267-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6965 Cumberland Gap Pkwy
Harrogate, TN 37752-8245
Phone: (423) 869-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1114890720
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 29, 2025
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025
Mailing address158 Elaine Dr, Tazewell, TN 37879-6229

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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