KEMMIAN DERRAIL JOHNSON
NPI 1528529252
Internal Medicine - Gastroenterology in Little Rock, AR

Active since March 26, 2019PECOS Enrolled
4301 W MARKHAM ST, SLOT 820, LITTLE ROCK, AR 72205(501) 686-7840 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2026, Jun 4, 2021 (2 updates tracked since 2021).

About Kemmian Derrail Johnson NPPES

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

KEMMIAN DERRAIL JOHNSON (NPI 1528529252) is an individual gastroenterology provider in Little Rock, Arkansas, licensed in Arkansas (E16519) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Arkansas College Of Medicine (2019).

NPPES Registry Identity

NPI1528529252
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameKEMMIAN DERRAIL JOHNSON
Location Address4301 W MARKHAM ST, SLOT 820Little Rock, AR 72205-7101
Mailing Address3401 Springhill Dr Ste 400North Little Rock, AR 72117-2928 · (501) 945-3343 · Fax (501) 945-0770
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2019
Enumeration DateMarch 26, 2019
Last NPPES UpdateApril 1, 20262 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
NPI 1528529252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in AR · E16519
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 325941 (LA)
4301 W MARKHAM ST, Little Rock, AR 72205

Secondary Practice Locations 2

Location 12003 Tulane AvenueNew Orleans, LA 70112 · Phone (504) 962-6110
Location 23401 Springhill Dr Ste 400North Little Rock, AR 72117-2928 · Phone (501) 945-3343 · Fax (501) 945-3343

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kemmian Derrail Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789912585
PECOS Enrollment IDI20260505000327
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 72205 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Dietitian, Registered
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST, SLOT # 500
LITTLE ROCK, AR 72205
Emergency Medicine
4301 W MARKHAM ST, SLOT 783
LITTLE ROCK, AR 72205
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4301 W MARKHAM ST, # 783
LITTLE ROCK, AR 72205
Psychiatry & Neurology (Neuromuscular Medicine)
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Obstetrics & Gynecology
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205

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 Kemmian Johnson's NPI number?

The NPI number for Kemmian Johnson is 1528529252. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Kemmian Johnson located?

Kemmian Johnson practices at 4301 W Markham St Slot 820, Little Rock, AR 72205. The listed phone number is (501) 686-7840.

What is Kemmian Johnson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kemmian Johnson enrolled in Medicare?

Yes. Kemmian Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kemmian Johnson was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.