Individual provider Active NPI

Kimberli Nekishia Johnson, M.D.

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1992996680
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M2356 Issued in TX
Practice address
5072 W Plano Pkwy
Plano, TX 75093-4476
Phone
(469) 671-0900
Fax
(972) 695-8827
NPI assigned
Aug 7, 2007
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M2356 TX Primary

Addresses

Primary practice location

5072 W Plano Pkwy
Plano, TX 75093-4476

Mailing address

5072 W Plano Pkwy
Plano, TX 75093-4476
Phone (469) 671-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20081107000315 TX Practitioner - Internal MedicinePractitioner - General Practice 6507925344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Odette Louise Campbell, MD, PAGroup PAC ID 9335301829, 14 clinicians

Practice addresses (Care Compare)

5072 W Plano Pkwy
Suite 220
Plano, TX 75093-4475
Phone (469) 671-0900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Odette Louise Campbell, MD, PA Internal Medicine Current Accepting new patients
Health and Human Services Commission Current Accepting new patients
Odette Louise Campbell MD PA Internal Medicine CurrentSince Aug 5, 2025 Accepting new patients
Health and Human Services Commission Internal Medicine CurrentSince Nov 26, 2018 Accepting new patients
Health and Human Services Commission CurrentSince Nov 26, 2018 Accepting new patients

Locations

2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053

4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327

11640 US Highway 87 N
Carlsbad, TX 76934
Phone (325) 465-2312

540 Chapel Dr
Mexia, TX 76667
Phone (254) 562-1750

5072 W Plano Pkwy
Ste 220
Plano, TX 75093
Phone (469) 671-0900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1992996680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5072 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934476",
            "telephone_number": "469-671-0900",
            "fax_number": "972-695-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5072 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934476",
            "telephone_number": "469-671-0900",
            "fax_number": "972-695-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLI",
        "middle_name": "NEKISHIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.