DR. MARY KATHERINE JOHNSON M.D.
NPI 1720309750
Obstetrics & Gynecology in Memphis, TN

Active since June 14, 2010PECOS EnrolledAccepts Medicare Assignment
6215 HUMPHREYS BLVD, STE 100, MEMPHIS, TN 38120(901) 747-1200 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2025, Feb 27, 2025 (2 updates tracked since 2025).

About Dr. Mary Katherine Johnson M.d. NPPES

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

DR. MARY KATHERINE JOHNSON M.D. (NPI 1720309750) is an individual obstetrics & gynecology provider in Memphis, Tennessee, licensed in Tennessee (50895) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Desoto, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1720309750
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. MARY KATHERINE JOHNSONCredential: M.D.
Location Address6215 HUMPHREYS BLVD, STE 100Memphis, TN 38120-2367
Mailing Address6215 Humphreys Blvd Ste 100Memphis, TN 38120-2382 · (901) 747-1200 · Fax (901) 747-1220
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 14, 2010
Last NPPES UpdateOctober 16, 20252 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
NPI 1720309750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in TN · 50895
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
6215 HUMPHREYS BLVD, Memphis, TN 38120

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. Mary Katherine 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 ID1557587581
PECOS Enrollment IDI20140728000779
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
34 services34 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
32 services32 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250141
Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County
Emergency services Birthing friendly

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440049
Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38120 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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.

Radiology (Diagnostic Radiology)
6215 HUMPHREYS BLVD, SUITE 100
MEMPHIS, TN 38120
Obstetrics & Gynecology (Obstetrics)
6215 HUMPHREYS BLVD, SUITE 401
MEMPHIS, TN 38120
Specialist
6215 HUMPHREYS BLVD, SUITE 500
MEMPHIS, TN 38120
Nurse Practitioner (Neonatal, Critical Care)
6215 HUMPHREYS BLVD, SUITE 201
MEMPHIS, TN 38120
Pediatrics
6215 HUMPHREYS BLVD, SUITE 200
MEMPHIS, TN 38120
Specialist
6215 HUMPHREYS BLVD, SUITE 500
MEMPHIS, TN 38120
Specialist
6215 HUMPHREYS BLVD, SUITE 500
MEMPHIS, TN 38120
Obstetrics & Gynecology
6215 HUMPHREYS BLVD, STE 400
MEMPHIS, TN 38120

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 Mary Johnson's NPI number?

The NPI number for Mary Johnson is 1720309750. It was assigned to this individual provider in the NPPES registry on June 14, 2010.

Where is Mary Johnson located?

Mary Johnson practices at 6215 Humphreys Blvd Ste 100, Memphis, TN 38120. The listed phone number is (901) 747-1200.

What is Mary Johnson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mary Johnson enrolled in Medicare?

Yes. Mary 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 Mary 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 5 other insurers list Mary 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.

Is Mary Johnson affiliated with any hospitals?

According to CMS data, Mary Johnson is affiliated with Baptist Memorial Hospital Desoto, Baptist Memorial Hospital and Methodist Hospitals Of Memphis.

When was this NPI record last updated?

The NPPES record for Mary Johnson was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.