Individual provider Active NPI

Pamela Carol Johnson, MD

  • Family Medicine Physician
  • New Carrollton, MD
National Provider Identifier
1104878065
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD047674 Issued in MD
Practice address
8500 Annapolis Rd Ste 200
New Carrollton, MD 20784-3022
Phone
(202) 531-5033
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D44855 MD
Emergency Medicine Physician 207P00000X 0101237027 VA
Family Medicine Physician 207Q00000X 0101237027 VA
Family Medicine Physician 207Q00000X MD047674 MD Primary

Addresses

Primary practice location

8500 Annapolis Rd Ste 200
New Carrollton, MD 20784-3022

Mailing address

8500 Annapolis Rd Ste 200
New Carrollton, MD 20784-3022
Phone (202) 531-5033

Other identifiers 3

IdentifierTypeStateIssuer
P00246395OtherVARAILROAD MEDICARE
010150302MedicaidVA
1104878065MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20041217000498 DC Practitioner - Family PracticePractitioner - Internal Medicine 3173580412 Reassigns benefits to 2 organizations
I20050420000683 VA Practitioner - Family Practice 3173580412 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D44855MDMDFamily Medicine Physician
MD047674MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jun 6, 2016 Accepting new patients
Inova Health Care Services Current Accepting new patients
Inova Health Care Services CurrentSince Jun 6, 2016 Accepting new patients
Bestpractices, Inc. Emergency Medicine Past Accepting new patients
Active Physical Therapy Services, LLC PastSince Dec 21, 2021 Accepting new patients
Bestpractices, Inc. Emergency Medicine Past Accepting new patients

Locations

3833 Fairfax Dr
Ste 100
Arlington, VA 22203
Phone (571) 405-2822

3833 Fairfax Dr
Ste 200
Arlington, VA 22203
Phone (703) 525-8863

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

3022 Williams Dr
Ste 300
Fairfax, VA 22031
Phone (703) 573-9800

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

2990 Telestar Ct
Ste 3UC
Falls Church, VA 22042

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44055 Riverside Pkwy
Ste 226
Leesburg, VA 20176
Phone (202) 321-8162

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1104878065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 ANNAPOLIS RD STE 200",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843022",
            "telephone_number": "202-531-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 ANNAPOLIS RD STE 200",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843022",
            "telephone_number": "202-531-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAMELA",
        "middle_name": "CAROL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D44855",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101237027",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101237027",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "MD047674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00246395",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010150302",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104878065",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Carrollton, MD

Sources for this page

Verify at the official NPI Registry.