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

Victoria White Johnson, PA-C

Individual provider Physician Assistant · NPI 1770079675

Victoria White Johnson, PA-C is a Physician Assistant in Johnson City, Tennessee. Graduated from Lincoln Memorial University Medical Department in 2018, 8 years ago. Practices with Blue Ridge Medical Management Corporation, a 286-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
8
Trained at
Lincoln Memorial University Medical Department
Licensed in
TN
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

403 N State Of Franklin Rd
Johnson City, TN 37604
Phone: (423) 431-7042
Fax: (423) 431-9042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 5511 Virginia Way Ste 300, Brentwood, TN 37027-7611 — (615) 994-1000
  • 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 — (423) 794-5520
  • 3415 Greystone Dr Ste 102a, Austin, TX 78731-2314 — (737) 381-1717
  • 7501 Fannin St Ste 702, Houston, TX 77054-1938 — (615) 994-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3679 (TN)

Record details

NPI number1770079675
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 3, 2018
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2018 (8 years in practice)
Group practice Blue Ridge Medical Management Corporation — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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