Individual provider Active NPI

Leigh R Johnson, FNP

  • Family Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1225673585
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178500 Issued in VA
Practice address
113 Gainsborough SQ Ste 400
Chesapeake, VA 23320-1714
Phone
(757) 842-4499
Fax
(757) 842-4490
NPI assigned
Nov 11, 2019
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024178500 VA Primary

Addresses

Primary practice location

113 Gainsborough SQ Ste 400
Chesapeake, VA 23320-1714

Mailing address

667 Kingsborough SQ Ste 101
Chesapeake, VA 23320-4999
Phone (757) 842-4481

Other practice location 1

1138 N Road St
Elizabeth City, NC 27909-3353
Phone (252) 335-4890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 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

Enrollment IDStateProvider typePAC IDDetails
I20200107000122 VA Practitioner - Nurse Practitioner 8022442623 Reassigns benefits to 4 organizations
I20250412000000 NC Practitioner - Nurse Practitioner 8022442623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Atlantic Long Term Care Specialists LLCGroup PAC ID 3971921206, 13 clinicians
Chesapeake Regional Medical GroupGroup PAC ID 8426113663, 148 clinicians

Practice addresses (Care Compare)

Norfolk, VA 23502
Phone (757) 354-2885

113 Gainsborough SQ
Suite 400
Chesapeake, VA 23320-1714
Phone (757) 842-4499

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Atlantic Long Term Care Specialists LLC Family CurrentSince Oct 1, 2020 Accepting new patients
Mid-Atlantic Post Acute & Long Term Care PLLC Family CurrentSince Nov 25, 2019 Accepting new patients
SE Virginia Value Based Care, LLC CurrentSince Aug 1, 2023 Accepting new patients
Chesapeake Regional Medical Group CurrentSince Oct 10, 2024 Accepting new patients
Chesapeake Regional Medical Group Family CurrentSince Oct 10, 2024 Accepting new patients
Chesapeake Regional Medical Group Family CurrentSince Feb 28, 2025 Accepting new patients

Locations

1138 N Road St
Elizabeth Cty, NC 27909
Phone (252) 334-1602

534 Caratoke Hwy
Moyock, NC 27958
Phone (252) 435-6621

113 Gainsborough Sq
Ste 400
Chesapeake, VA 23320
Phone (757) 436-0167

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

667 Kingsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 312-3132

6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885

Interoperability endpoints

  • Direct secure messaging: leigh.johnson.1@5072.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1225673585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 KINGSBOROUGH SQ STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204999",
            "telephone_number": "757-842-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 GAINSBOROUGH SQ STE 400",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201714",
            "telephone_number": "757-842-4499",
            "fax_number": "757-842-4490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1138 N Road St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279093353",
            "country_code": "US",
            "telephone_number": "252-335-4890",
            "fax_number": "252-335-7836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LEIGH",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.