Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Damani Kobie Johnson, RN

Individual provider Registered Nurse · NPI 1639655020

Mr. Damani Kobie Johnson, RN is a Certified Registered Nurse Anesthetist (CRNA) in Memphis, Tennessee. Qualified in 2018, 8 years ago. Practices with Covenant Anesthesia Group PC, a 233-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
8
Licensed in
TN
In the registry since
2018
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1068 Cresthaven Rd Ste 150
Memphis, TN 38119-3859
Phone: (901) 412-4706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 0000024814 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 0000172873 (TN)

Record details

NPI number1639655020
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedJuly 18, 2018
Last updated in NPPESFebruary 21, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Covenant Anesthesia Group Pc — 233 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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