DR. RHONDA CHARLENE JOHNSON M.D
NPI 1104878164
Pediatrics - Adolescent Medicine in Memphis, TN

Q: What is Rhonda Johnson's NPI number?

The NPI number for Rhonda Johnson is 1104878164. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Rhonda Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Rhonda Johnson was last updated on October 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 17, 2006PECOS Enrolled

2574 FRAYSER BLVD, MEMPHIS, TN 38127(901) 515-5300(901) 515-5390 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Rhonda Charlene Johnson M.d NPPES

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

DR. RHONDA CHARLENE JOHNSON M.D (NPI 1104878164) is an individual adolescent medicine provider in Memphis, Tennessee, licensed in Tennessee (37230) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1104878164

Entity TypeIndividualFemale

Primary Taxonomy2080A0000X

Provider Legal NameDR. RHONDA CHARLENE JOHNSONCredential: M.D

Location Address2574 FRAYSER BLVDMemphis, TN 38127-5829

Mailing Address877 Jefferson Ave, 5th Floor Adams PavilionMemphis, TN 38103-2807 · (901) 515-4529 · Fax (901) 515-4599

Phone(901) 515-5300

Fax(901) 515-5390

Sole ProprietorNo

Enumeration DateMay 17, 2006

Last NPPES UpdateOctober 17, 2025

NPPES CertifiedOctober 17, 2025

✔ NPI 1104878164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Licenses✔ Licensed in TN · 37230✔ Licensed in GA · 053565

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

2574 FRAYSER BLVD, Memphis, TN 38127

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Secondary Practice Location 1

Location 11102 Brookfield Rd Ste 200Memphis, TN 38119-3826 · Phone (901) 761-1880

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rhonda Charlene 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.