Individual provider Active NPI

Sonia Ayisi Johnson, NP-C

  • Internal Medicine Physician
  • Annandale, VA
National Provider Identifier
1205320116
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0024176163 Issued in VA
Practice address
6715 Little River Tpke Ste 205
Annandale, VA 22003-3546
Phone
(703) 942-7339
NPI assigned
Jun 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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 0024176163 VA Primary

Addresses

Primary practice location

6715 Little River Tpke Ste 205
Annandale, VA 22003-3546

Mailing address

6715 Little River Tpke Ste 205
Annandale, VA 22003-3546
Phone (703) 942-7339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190812004014 VA Practitioner - Nurse Practitioner 3870820947 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oracle Heart and Vascular IncGroup PAC ID 5890926075, 21 clinicians

Practice addresses (Care Compare)

15521 Real Estate Ave
King George, VA 22485-5327
Phone 85573999535027

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024176163VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oracle Heart & Vascular, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Pathology Associates of Fredericksburg PTR Current Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jun 1, 2019 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jun 1, 2019 Accepting new patients
Mary Washington Healthcare Providers LLC CurrentSince Nov 1, 2020 Accepting new patients
Virginia Internal Medicine, PC and Urgent Care Services, Inc. Past Accepting new patients

Locations

1011 Care Way
Ste 200
Fredericksburg, VA 22401
Phone (540) 373-4900

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

421 Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 371-8250

15521 Real Estate Ave
Ste 200
King George, VA 22485
Phone (540) 663-3139

15521 Real Estate Ave
King George, VA 22485
Phone (540) 289-2273

125 Hospital Center Blvd
Ste 329
Stafford, VA 22554
Phone (540) 374-3290

125 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 602-6500

Interoperability endpoints

  • Direct secure messaging: jsonia57112@marywashingtonhealthcare.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DFHEAD

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1205320116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 LITTLE RIVER TPKE STE 205",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033546",
            "telephone_number": "703-942-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 LITTLE RIVER TPKE STE 205",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033546",
            "telephone_number": "703-942-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SONIA",
        "middle_name": "AYISI",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0024176163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.