Individual provider Active NPI

Rhonda Charlene Johnson, M.D

  • Pediatric Adolescent Medicine Physician
  • Memphis, TN
National Provider Identifier
1104878164
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
37230 Issued in TN
Practice address
2574 Frayser Blvd
Memphis, TN 38127-5829
Phone
(901) 515-5300
Fax
(901) 515-5390
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 053565 GA
Pediatric Adolescent Medicine Physician 2080A0000X 37230 TN Primary

Addresses

Primary practice location

2574 Frayser Blvd
Memphis, TN 38127-5829

Mailing address

877 Jefferson Ave
5TH Floor Adams Pavilion
Memphis, TN 38103-2807
Phone (901) 515-4529

Other practice location 1

1102 Brookfield Rd Ste 200
Memphis, TN 38119-3826
Phone (901) 761-1880

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rhonda.johnson.1@33161.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031111000537 TN Practitioner - Pediatric Medicine 7911810395 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
053565GAMDPediatric Adolescent Medicine Physician
37230TNMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meharry Health Network, PC CurrentSince Jul 3, 2023 Accepting new patients
Pediatric and Adolescent Medicine Past Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

438 N Cleveland St
Memphis, TN 38104
Phone (866) 364-8944

Interoperability endpoints

  • Direct secure messaging: rjohnson32228@mlh.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1104878164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 JEFFERSON AVE",
            "address_2": "5TH FLOOR ADAMS PAVILION",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032807",
            "telephone_number": "901-515-4529",
            "fax_number": "901-515-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2574 FRAYSER BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381275829",
            "telephone_number": "901-515-5300",
            "fax_number": "901-515-5390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 Brookfield Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381193826",
            "country_code": "US",
            "telephone_number": "901-761-1880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RHONDA",
        "middle_name": "CHARLENE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "GA",
            "license": "053565",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TN",
            "license": "37230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rhonda.johnson.1@33161.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EMR Athena Direct Messaging Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Athena Direct Messaging Email Address",
            "address_1": "1102 Brookfield Rd Ste 200",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381193826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.