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AUDRA DENISE JOHNSON
NPI 1699502971
Technician, Pathology - Phlebotomy in Memphis, TN

Active since September 19, 2024PECOS Enrolled
5405 FOX PLAZA DR, MEMPHIS, TN 38115(901) 491-8060 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Audra Denise Johnson NPPES

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

AUDRA DENISE JOHNSON (NPI 1699502971) is an individual phlebotomy provider in Memphis, Tennessee, licensed in Tennessee (937308) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699502971
Entity TypeIndividualFemale
Primary Taxonomy246RP1900X
Provider Legal NameAUDRA DENISE JOHNSON
Location Address5405 FOX PLAZA DRMemphis, TN 38115-1518
Mailing Address7208 Bay Hollow CvMemphis, TN 38125-2601 · (901) 347-9203
Phone(901) 491-8060
Sole ProprietorYes
Enumeration DateSeptember 19, 2024
NPPES CertifiedSeptember 19, 2024
✔ NPI 1699502971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
License✔ Licensed in TN · 937308
5405 FOX PLAZA DR, Memphis, TN 38115
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audra Denise Johnson 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.

Other Providers at the Same Location NPPES 3

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

KBK HOME HEALTH SERVICES LLC
Home Health
5405 FOX PLAZA DR, SUITE 108E
MEMPHIS, TN 38115
Shelby County (504) 223-4969
ASSISTED LIVING AND PERSONAL CARE SERVICES
In Home Supportive Care
5405 FOX PLAZA DR, SUITE 101
MEMPHIS, TN 38115
Shelby County (901) 265-7077
MS. FELICIA WHITE
Homemaker
5405 FOX PLAZA DR, SUITE 106D-E
MEMPHIS, TN 38115
Shelby County (901) 314-4866

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 Audra Johnson's NPI number?

The NPI number for Audra Johnson is 1699502971. It was assigned to this individual provider in the NPPES registry on September 19, 2024.

Where is Audra Johnson located?

Audra Johnson practices at 5405 Fox Plaza Dr, Memphis, TN 38115. The listed phone number is (901) 491-8060.

What is Audra Johnson's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

Is Audra Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Audra Johnson was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.