Tiara Alivia Johnson, PA-C
Tiara Alivia Johnson, PA-C is a Physician Assistant in Cordova, Tennessee. Qualified in 2025, 1 year ago. Accepts Medicare assignment. Licensed in Tennessee.
- Years since qualifying
- 1
- Licensed in
- TN
- In the registry since
- 2025
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1645 N Germantown PkwyCordova, TN 38016-5962
Phone: (901) 825-5360
Fax: (901) 825-5361
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 6859 (TN) |
|---|
Record details
| NPI number | 1154217909 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | June 17, 2025 |
| Last updated in NPPES | January 21, 2026 |
| Certification date | January 21, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Cordova
-
Mrs. Lacie Whitten Crawford, PA-C
57 Germantown Ct Ste 100, Cordova, TN 38018-4274 · (901) 435-8550
-
Caroline Caitlyn Crocker, PA-C
57 Germantown Ct Ste 100, Cordova, TN 38018-4274 · (901) 763-0200