MEDICARE: STEPHEN MICHAEL JOHNSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	54615	TN
2	208000000X	Pediatrics Physician	54615	TN

General Provider Information

NPI Number	:	1568751345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN MICHAEL JOHNSON MD

Provider Business Mailing Address
First Line	:	PO BOX 1000
Second Line	:	DEPT 978
City	:	MEMPHIS
State	:	TN
Zip	:	38148-0001
Country	:	US
Telephone Number	:	901-320-6915
Fax Number	:	901-320-6920

Provider Business Practice Location Address
First Line	:	3473 POPLAR AVE
Second Line	:	SUITE 103
City	:	MEMPHIS
State	:	TN
Zip	:	38111-4654
Country	:	US
Telephone Number	:	901-320-6915
Fax Number	:	901-320-6920

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2011
Last Update Date	:	08/08/2016

Similar Medicare Providers

1891890406 — SIMON HAILESELASSIE TESFAU MD
Practice Location Address:

3473 POPLAR AVE STE 103
MEMPHIS, TN
38111-4654

Practice Phone: 901-320-6915
Practice Fax: 901-320-6920

1932281649 — GRACE SPEER DDS
Practice Location Address:

3481 POPLAR AVE
MEMPHIS, TN
38111-4654

Practice Phone: 901-320-9301
Practice Fax:

1932401833 — AFFORDABLE DENTURES - MEMPHIS, P.C.
Practice Location Address:

3481 POPLAR AVE
MEMPHIS, TN
38111-4654

Practice Phone: 901-320-9301
Practice Fax:

1205138104 — AFFORDABLE DENTURES - MEMPHIS, P.C.
Practice Location Address:

3481 POPLAR AVE
MEMPHIS, TN
38111-4654

Practice Phone: 901-320-9301
Practice Fax:

1538414651 — COURTNEY WHITTAKER SNEED D.D.S.
Practice Location Address:

3481 POPLAR AVE
MEMPHIS, TN
38111-4654

Practice Phone: 901-320-9301
Practice Fax:

1720451545 — TRACY W RAPP DNP
Practice Location Address:

3473 POPLAR AVE STE 103
MEMPHIS, TN
38111-4654

Practice Phone: 901-320-6915
Practice Fax: 901-320-6920

Directions to “ STEPHEN MICHAEL JOHNSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.