KEMMIAN DERRAIL JOHNSON
NPI 1528529252
Internal Medicine - Gastroenterology in Little Rock, AR
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
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kemmian Derrail Johnson 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.
Medicare Billing Reassignment
Medicare enrollment records show Kemmian Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
North Little Rock, AR 72117
- Reassigned Medicare billing, Arkansas enrollment
- 7 clinicians in this Medicare group
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 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.
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.
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kemmian Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kemmian Johnson reassigns Medicare benefits to Gastro Clinics Of Arkansas, PLLC (North Little Rock, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kemmian Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kemmian Johnson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kemmian 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 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 7 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.
# Kemmian Derrail Johnson · NPI 1528529252
Gastroenterology physician in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since March 26, 2019.
## Identity
- **NPI:** 1528529252 (Entity type: Individual)
- **Enumerated:** March 26, 2019
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** E16519 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4301 W MARKHAM ST, SLOT 820, Little Rock, AR 72205-7101
- **Phone:** (501) 686-7840
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Gastro Clinics Of Arkansas, PLLC (NPI 1972944064, North Little Rock, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Arkansas College Of Medicine, class of 2019
## Record status
- **NPPES last updated:** April 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1528529252) · Data from the CMS NPPES public registry.