Individual provider

Rhonda Johnson, M.D

Pediatric Adolescent Medicine Physician Medicare enrolled

Rhonda Johnson, M.D is a Pediatric Adolescent Medicine Physician in Memphis, TN, registered under NPI 1104878164.

Getting there

The practice address on file is 2574 FRAYSER BLVD, Memphis, TN 38127. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2574 FRAYSER BLVD, Memphis, TN 38127 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
37230 TN Pediatric Adolescent Medicine Physician primary
053565 GA Pediatric Adolescent Medicine Physician

Licences are recorded in 2 states: TN, GA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Pediatric Medicine
PAC ID
7911810395

Medicare enrolment is recorded as approved under the provider type Practitioner - Pediatric Medicine. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Georgia and Tennessee. The practice address on file is in Memphis, TN, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

GA Georgia
Licence
053565
Specialty
Pediatric Adolescent Medicine Physician
Verify with the GA board →
TN Tennessee practice address
Licence
37230
Specialty
Pediatric Adolescent Medicine Physician
Verify with the TN board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Adolescent Medicine covers

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. NUCC Health Care Provider Taxonomy, code 2080A0000X
Allopathic & Osteopathic Physicians Pediatrics Adolescent Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2080A0000X Pediatric Adolescent Medicine Physician Adolescent Medicine 37230 TN primary
2080A0000X Pediatric Adolescent Medicine Physician Adolescent Medicine 053565 GA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104878164 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 17, 2006
Last updatedOct 17, 2025
StatusActive
Sole proprietorNo
CredentialM.D
Practice address 2574 FRAYSER BLVD
Memphis, TN 38127
(901) 515-5300
Fax (901) 515-5390
Mailing address 877 JEFFERSON AVE 5TH FLOOR ADAMS PAVILION
Memphis, TN 38103
This record was updated on Oct 17, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104878164 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 8 7 8 1 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 7 7 7 1 3

Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104878164?
NPI 1104878164 is the National Provider Identifier assigned to Rhonda Johnson, M.D in Memphis, TN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Adolescent Medicine cover?
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
How do I contact Rhonda Johnson, M.D?
The phone number on file with NPPES is (901) 515-5300, last updated Oct 17, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Rhonda Johnson, M.D accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104878164 a valid number?
Yes. 1104878164 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.