DR. DEREK K. JOHNSON M.D.
NPI 1386603850
Pediatrics in Smyrna, TN

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
300 STONECREST BLVD STE 250, SMYRNA, TN 37167(629) 220-0211(629) 220-0210 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 17, 2022, Oct 6, 2022, Jun 25, 2020 (3 updates tracked since 2020).

About Dr. Derek K. Johnson M.d. NPPES

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

DR. DEREK K. JOHNSON M.D. (NPI 1386603850) is an individual pediatrics provider in Smyrna, Tennessee, licensed in Tennessee (MD40831) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Pittsburgh School Of Medicine (1995).

NPPES Registry Identity

NPI1386603850
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. DEREK K. JOHNSONCredential: M.D.
Location Address300 STONECREST BLVD STE 250Smyrna, TN 37167-6832
Mailing Address300 Stonecrest Blvd Ste 250Smyrna, TN 37167-6832 · (629) 220-0211 · Fax (629) 220-0210
Fax(629) 220-0210
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1995
Enumeration DateMarch 22, 2006
Last NPPES UpdateOctober 17, 20223 updates tracked since enumeration
NPPES CertifiedOctober 17, 2022
NPI 1386603850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in TN · MD40831 Licensed in PA · MD073165L
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.

300 STONECREST BLVD STE 250, Smyrna, TN 37167

Other Identifiers 1

Medicaid001842036PA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Derek K. Johnson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224003652
PECOS Enrollment IDI20060731000464
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37167 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 6

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

Nurse Practitioner (Obstetrics & Gynecology)
300 STONECREST BLVD STE 250
SMYRNA, TN 37167
Nurse Practitioner (Women's Health)
300 STONECREST BLVD STE 250
SMYRNA, TN 37167
Pediatrics
300 STONECREST BLVD STE 250
SMYRNA, TN 37167
Pediatrics
300 STONECREST BLVD STE 250
SMYRNA, TN 37167
Obstetrics & Gynecology
300 STONECREST BLVD STE 250
SMYRNA, TN 37167
Nurse Practitioner (Pediatrics)
300 STONECREST BLVD STE 250
SMYRNA, TN 37167

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Johnson's NPI number?

The NPI number for Derek Johnson is 1386603850. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Derek Johnson located?

Derek Johnson practices at 300 Stonecrest Blvd Ste 250, Smyrna, TN 37167. The listed phone number is (629) 220-0211.

What is Derek Johnson's specialty?

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

Is Derek Johnson enrolled in Medicare?

Yes. Derek Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Derek Johnson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Derek Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derek Johnson was last updated on October 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.