Individual provider Active NPI

Robert A Johnson, M.D

  • Hematology & Oncology Physician
  • Germantown, TN
National Provider Identifier
1245262336
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
21289 Issued in TN
Practice address
7945 Wolf River Boulevard
Germantown, TN 38138
Phone
(901) 683-0055
Fax
(901) 922-6701
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 13100 MS
Hematology & Oncology Physician 207RH0003X N8169 AR
Hematology & Oncology Physician 207RH0003X 21289 TN Primary

Addresses

Primary practice location

7945 Wolf River Boulevard
Germantown, TN 38138

Mailing address

7945 Wolf River Boulevard
Germantown, TN 38138
Phone (901) 683-0055

Other identifiers 7

IdentifierTypeStateIssuer
4197600OtherAETNA
96185OtherARBCBS AR
203153812MedicaidMO
00015569MedicaidMS
119057001MedicaidAR
3058486MedicaidTN
4064749OtherTNBCBS TN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040526000048 TN Practitioner - Hematology/Oncology 1557342698 Reassigns benefits to 2 organizations
I20080904000621 MS Practitioner - Hematology/Oncology 1557342698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Saint Louis University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The West Clinic P.C.Group PAC ID 2668360579, 115 clinicians

Practice addresses (Care Compare)

1588 Union Ave
Memphis, TN 38104-3729
Phone (901) 300-1562

2001 State Dr
Corinth, MS 38834-9324
Phone (662) 286-3694

7668 Airways Blvd
Southaven, MS 38671-5304
Phone (662) 349-9556

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.15 of 100Reported as subgroup
Quality
83.22
Promoting interoperability
100
Improvement activities
40
Cost
77.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N8169ARMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The West Clinic P.C. Hematology & Oncology CurrentSince Jul 7, 2003 Accepting new patients
Shelby County Health Care Corporation CurrentSince Apr 15, 2022 Accepting new patients
Shelby County Health Care Corporation Hematology & Oncology CurrentSince Apr 15, 2022 Accepting new patients
West Clinic, PC CurrentSince Jul 7, 2003 Accepting new patients
The West Clinic P.C. Hematology & Oncology CurrentSince Jul 7, 2003 Accepting new patients

Locations

504 Azalea Dr
Ste A
Oxford, MS 38655
Phone (662) 236-7738

7668 Airways Blvd
Southaven, MS 38671
Phone (662) 349-9556

55 Physicians Ln
Ste 2
Southaven, MS 38671
Phone (662) 349-9556

240 Grandview Dr
Brighton, TN 38011
Phone (901) 475-0678

7945 Wolf River Blvd
Memphis, TN 38138
Phone (901) 448-7000

100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800

7714 Poplar Ave
Ste 200
Memphis, TN 38138
Phone (901) 322-9080

1588 Union Ave
Memphis, TN 38104
Phone (901) 276-2410

877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893

Interoperability endpoints

  • Direct secure messaging: rjohnson32227@mlh.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1245262336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7945 WOLF RIVER BOULEVARD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-683-0055",
            "fax_number": "901-922-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 WOLF RIVER BOULEVARD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-683-0055",
            "fax_number": "901-922-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MS",
            "license": "13100",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AR",
            "license": "N8169",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "21289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4197600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AR",
            "identifier": "96185",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203153812",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00015569",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119057001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3058486",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "4064749",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.