Albert Kenneth Jabbour, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110006946 Issued in VA

Practice address

109 Clearview Rd
Madison Heights, VA 24572-2600

Phone

(434) 929-1400

NPI assigned

Apr 12, 2007

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johnson Health CenterGroup PAC ID 9537060413, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JCFEAA/Endpoint/JCFEAA

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.

• Millennium Physician Group LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1811122880
  Medicare reassignment NPD
• Johnson Health Center

  dba Amherst County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Madison Heights, VA
  • NPI 1972858660
  Care Compare group NPD
• Johnson Health Center

  • Federally Qualified Health Center (FQHC)
  • Lynchburg, VA
  • NPI 1316926538
  Medicare reassignment
• Pulsemd Bonita LLC

  dba Pulse-MD Urgent Care

  • Urgent Care Clinic/Center
  • Bonita Springs, FL
  • NPI 1548960842
  Medicare reassignment
• Johnson Health Center

  dba Johnson Health Center Pharmacy

  • Pharmacy
  • Lynchburg, VA
  • NPI 1962709287
  NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1073131702
  NPD
• Johnson Health Center

  dba Lynchburg Women's and Pediatric Health Services

  • Federally Qualified Health Center (FQHC)
  • Lynchburg, VA
  • NPI 1821212481
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1013131119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 ELON RD",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "245722536",
            "telephone_number": "434-929-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CLEARVIEW RD",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "245722600",
            "telephone_number": "434-929-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30410 Highway 200",
            "address_purpose": "LOCATION",
            "city": "Ponderay",
            "state": "ID",
            "postal_code": "838529601",
            "country_code": "US",
            "telephone_number": "208-263-7101",
            "fax_number": "208-263-7198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 Bonita Beach Rd SE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341354698",
            "country_code": "US",
            "telephone_number": "239-498-9294",
            "fax_number": "239-798-7179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JABBOUR",
        "first_name": "ALBERT",
        "middle_name": "KENNETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "516",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9117096",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indian Health Service Monacan Service Unit Monacan Health Center (Monacan Health Center)
• Indian Health Service Monacan Service Unit Monacan Health Center (IHS Monacan Health Center Pharmacy)
• Indian Health Service Richmond Service Unit (Monacan Health Center Tribal Pharmacy)
• Indian Health Service Richmond Service Unit (Monacan Health Center)
• Marwa Issa
• Johnson Health Center (Amherst County Community Health Pharmacy)
• Johnson Health Center (James River Dental Clinic)
• Johnson Health Center (Amherst County Community Health Center)
• J'NA Johnson
• Sandra Jones, CFNP

• Physician Assistant in Madison Heights, VA
• Providers in Madison Heights, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.