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DR. KENDRICK O JOHNSON D.O.
NPI 1558700054
Family Medicine in Williams, AZ

Active since June 18, 2013PECOS Enrolled
300 S 6TH ST, WILLIAMS, AZ 86046(928) 635-4441(928) 635-4403 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2026, May 5, 2025, Jun 5, 2017 (3 updates tracked since 2017).

About Dr. Kendrick O Johnson D.o. NPPES

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

DR. KENDRICK O JOHNSON D.O. (NPI 1558700054) is an individual family medicine provider in Williams, Arizona, licensed in Arizona (6702) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Canyon, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1558700054
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENDRICK O JOHNSONCredential: D.O.
Location Address300 S 6TH STWilliams, AZ 86046-0110
Mailing Address300 S 6th StWilliams, AZ 86046-0110 · (928) 635-4441
Phone(928) 635-4441
Fax(928) 635-4403
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 18, 2013
Last NPPES UpdateMay 5, 20263 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1558700054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 6702
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
300 S 6TH ST, Williams, AZ 86046
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Secondary Practice Location 1

Location 11 Clinic RdGrand Canyon, AZ 86023-0290 · Phone (928) 638-2551 · Fax (928) 638-2598

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, UnitedHealthcare.Insurance ›

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. Kendrick O Johnson D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244526499
PECOS Enrollment IDI20160914001477
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 86046 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

TRASI LYNN CRUMRIN D.O.
Family Medicine
300 S 6TH ST
WILLIAMS, AZ 86046
Coconino County (928) 635-4441
MR. TIMOTHY LAWRENCE JACKSON PA
Physician Assistant (Medical)
300 S 6TH ST
WILLIAMS, AZ 86046
Coconino County (928) 635-4441
NORTH COUNTRY HEALTHCARE INC. WILLIAMS URGENT CARE
Clinic/Center (Federally Qualified Health Center (FQHC))
300 S 6TH ST
WILLIAMS, AZ 86046
Coconino County (928) 635-4441
DR. SARAH A. NOTTER M.D.
Internal Medicine
300 S 6TH ST
WILLIAMS, AZ 86046
Coconino County (928) 635-4441
DR. TYLER ARKLESS M.D.
Family Medicine
300 S 6TH ST
WILLIAMS, AZ 86046
Coconino County (928) 635-4441
ELIZABETH DAWN HAWS FNP-C
Nurse Practitioner
300 S 6TH ST
WILLIAMS, AZ 86046
Coconino County (928) 635-4441
MARIA ARGANOZA-PRIESS DO
Family Medicine
300 S 6TH ST
WILLIAMS, AZ 86046
Coconino County (928) 635-4441
DR. IMAC SORAYA REYNAGA HOLMES ED.D M.S. LPC LCADC
Counselor (Professional)
300 S 6TH ST
WILLIAMS, AZ 86046
Coconino County (928) 635-4441

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 Kendrick Johnson's NPI number?

The NPI number for Kendrick Johnson is 1558700054. It was assigned to this individual provider in the NPPES registry on June 18, 2013.

Where is Kendrick Johnson located?

Kendrick Johnson practices at 300 S 6th St, Williams, AZ 86046. The listed phone number is (928) 635-4441.

What is Kendrick Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kendrick Johnson enrolled in Medicare?

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

What insurance does Kendrick Johnson accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Kendrick 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 Kendrick Johnson was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.