Randi Michelle Johnson, PA

Physician Assistant · Harrogate, TN

Individual Active NPI

NPI number 1114890720

Practice location

6965 Cumberland Gap Pkwy
Harrogate, TN 37752-8245
Phone
(423) 869-3600

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NPI record

NPI
1114890720
Entity type
Individual (Type 1)
Enumeration date
September 29, 2025
Last updated
October 8, 2025
Certified
October 8, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —

Mailing address

158 Elaine Dr
Tazewell, TN 37879-6229
Phone
(951) 490-3482

About Randi Johnson

Randi Michelle Johnson, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245. The NPI number 1114890720 was assigned on September 29, 2025 and the record was last updated on October 8, 2025.

Frequently asked questions

What is the NPI number of Randi Michelle Johnson, PA?

The NPI number is 1114890720.

What is the phone number of Randi Johnson?

The phone number listed for the practice location is (423) 869-3600.

Where is Randi Johnson located?

6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245.

What is the taxonomy code for Randi Johnson?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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