AMY E JOHNSON M.D.
NPI 1073578456
Pediatrics in Jackson, TN

Q: What is Amy Johnson's NPI number?

The NPI number for Amy Johnson is 1073578456. It was assigned to this individual provider in the NPPES registry on April 19, 2006. The provider is also known as Amy Johnson MD.

Q: What is Amy Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Johnson was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2006PECOS Enrolled

2863 HIGHWAY 45 BYP, JACKSON, TN 38305(731) 422-0213(731) 660-8369 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 21, 2021, Apr 14, 2021, Jan 24, 2020 and 1 more (4 updates tracked since 2016).

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About Amy E Johnson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY E JOHNSON M.D. (NPI 1073578456) is an individual pediatrics provider in Jackson, Tennessee, licensed in Tennessee (MD63332) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073578456

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameAMY E JOHNSONCredential: M.D.

Location Address2863 HIGHWAY 45 BYPJackson, TN 38305-3618

Mailing AddressPo Box 400Jackson, TN 38302-0400 · (731) 422-0213 · Fax (731) 422-5743

Phone(731) 422-0213

Fax(731) 660-8369

Sole ProprietorNo

Enumeration DateApril 19, 2006

Last NPPES UpdateJune 21, 20214 updates tracked since enumeration

NPPES CertifiedJune 21, 2021

✔ NPI 1073578456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in TN · MD63332✔ Licensed in TN · INPROCESS✔ Licensed in CO · 49323

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License DR.0049323 (CO)

2863 HIGHWAY 45 BYP, Jackson, TN 38305

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Other Names 1

Professional Name (2)Amy Johnson Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy E Johnson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Amy Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ut Lebonheur Pediatric Specialists, Inc.

76 mi

Pediatrics

848 ADAMS AVE.
Memphis, TN 38103

Reassigned Medicare billing, Tennessee enrollment
582 clinicians in this Medicare group

NPI 1093024101 (901) 287-7337

St Jude Children's Research Hospital, Inc.

76 mi

Pediatrics

262 DANNY THOMAS PL
Memphis, TN 38105

Reassigned Medicare billing, Tennessee enrollment
Medicare enrollment name: St Jude Childrens Research Hospital Inc
367 clinicians in this Medicare group

NPI 1306335088 (901) 595-3300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY K LAWRENCE FNP

Nurse Practitioner (Family)