Individual provider · Type 1 NPI
Tiara Alivia Johnson, PA-C
Medical Physician Assistant · Cordova, TN
NPI number
1154217909
Active
Practice location
1645 N Germantown Pkwy
Cordova, TN 38016-5962
Fax (901) 825-5361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 6859 (TN) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Cordova
About NPI 1154217909
Tiara Alivia Johnson, PA-C's National Provider Identifier is 1154217909, issued on Jun 17, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Cordova, TN. The record was last updated on Jan 21, 2026.