Active NPI
Sonia Ayisi Johnson, NP-C
- Internal Medicine Physician
- Annandale, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0024176163
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0024176163 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oracle Heart & Vascular, Inc. | Current | Accepting new patients | |
| Pathology Associates of Fredericksburg PTR | Current | Accepting new patients | |
| Mary Washington Healthcare Physicians | Current | Accepting new patients | |
| Mary Washington Healthcare Physicians | Current | Accepting new patients | |
| Mary Washington Healthcare Providers LLC | Current | 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
- jsonia57112@marywashingtonhealthcare.direct-ci.com
- 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.
-
- Interventional Cardiology Physician
- Fredericksburg, VA
- NPI 1972924520
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
-
- Hospitalist Physician
- Fredericksburg, VA
- NPI 1750826277
-
- Durable Medical Equipment & Medical Supplies
- Fredericksburg, VA
- NPI 1740853035
-
- Anatomic Pathology Physician
- Fredericksburg, VA
- NPI 1033150982
-
dba Nana Osei Amoah, MD: Virginia Internal Medicine, PC
- Primary Care Clinic/Center
- Annandale, VA
- NPI 1679800619
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
dba Mary Washington Cardiology
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
-
dba Mary Washington Home Health Agency
- Home Health Agency
- Fredericksburg, VA
- NPI 1407814163
Hospital
-
dba Stafford Hospital
- General Acute Care Hospital
- Stafford, VA
- NPI 1043343304
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
- John E Kang DDS (Eul-Mo Kang DDS)
- John H Yi PH.D. (Hanbangnara)
- John H Yi PHD (Hanbangnara)
- Gjaudy N John-Wallace
- Julie Robyn Johnson, LPC
- Stephanie Michele Johnson, FNP-C
- Stephanie Rose Johnson, D.C.
- Steven Robert Johnson, D.D.S.
- Jones Family Chiropractic & Wellness Center, LLC
- Dawn S Jones, 101YA0400X
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.