Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIARA ALIVIA JOHNSON, PA-C
ActiveTIARA ALIVIA JOHNSON, PA-C is a Medical Physician Assistant healthcare provider located in CORDOVA, Tennessee. NPI 1154217909 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CORDOVA, TN
Registration Details
- NPI Number
- 1154217909
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 17, 2025 (1.1773189331712 yrs)
- Last Updated
- Jan 21, 2026
- License
-
6859 (TN)
Practice Information
- Address
-
1645 N GERMANTOWN PKWYCORDOVA, TN, 380165962Browse TN providers · Browse ZIP 38016
- Phone
- 9018255360
- Fax
- 9018255361
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in CORDOVA, TN
| Name | Credential | NPI |
|---|---|---|
| DAVENE WELLS | PA-C | 1386033645 |
| CAROLINE CAITLYN CROCKER | PA-C | 1174394688 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.