Active NPI
Mark Stephen Johnson, MD
- Surgery Physician
- Portsmouth, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101248712
- Practice address
- 620 John Paul Jones Cir
Portsmouth, VA 23708-2111 - Phone
- (757) 953-2154
- NPI assigned
- Aug 14, 2006
- Last updated
- Sep 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2015-00091 | NC | |
| Surgery Physician | 208600000X | 0101248712 | VA | Primary |
| Surgical Critical Care Physician | 2086S0102X | 0101248712 | VA | |
| Trauma Surgery Physician | 2086S0127X | 0101248712 | VA |
Addresses
Primary practice location
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Mailing address
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-2442
Other practice location 1
1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 827-1207
Other practice location 2
1213 E Clay St
Richmond, VA 23298-5071
Phone (804) 827-1207
Other practice location 3
113 Gainsborough Sq Ste 400
Chesapeake, VA 23320-1714
Phone (757) 842-4499
Other practice location 4
500 Sentara Cir Ste 202
Williamsburg, VA 23188-5727
Phone (757) 984-9850
Other practice location 5
US Marine Forces Command 2775 Forrestal Ave Bldg 33
Norfolk, VA 23515-1714
Phone (757) 836-1552
Other practice location 6
11958 W Broad St
Henrico, VA 23233-1007
Phone (804) 360-6449
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Massachusetts Medical School, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Medical Pkwy
Chesapeake, VA 23320-4985
736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-6102
744 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-3132
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015-00091 | NC | MD | Surgery Physician |
| 0101248712 | VA | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Regional Medical Group | Current | Accepting new patients | |
| Sentara Medical Group | Current | Accepting new patients | |
| Chesapeake Regional Medical Group | Surgery | Current | Accepting new patients |
| MCV Associated Physicians | Current | Accepting new patients | |
| Colon Rectal Surgery of Tidewater, P.C. | Past | Accepting new patients |
Locations
113 Gainsborough Sq
Ste 400
Chesapeake, VA 23320
Phone (757) 436-0167
300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102
736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124
3000 Coliseum Dr
Ste 200
Hampton, VA 23666
Phone (757) 736-7250
6251 E Virginia Beach Blvd
Ste 300
Norfolk, VA 23502
Phone (757) 261-5000
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
11958 W Broad St
Richmond, VA 23233
Phone (804) 360-4669
1213 E Clay St
Richmond, VA 23298
Phone (804) 827-1207
1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
1080 First Colonial Rd
Ste 200
Virginia Beach, VA 23454
Phone (757) 395-6070
2075 Glenn Mitchell Dr
Ste 512
Virginia Beach, VA 23456
Phone (757) 507-8850
500 Sentara Cir
Ste 202
Williamsburg, VA 23188
Phone (757) 984-9850
Interoperability endpoints
- mark.johnson.1@5072.direct.athenahealth.com
- mjohnson310941@direct.sentara.net
Organizations & group practices 5
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.
-
- Surgery Physician
- Chesapeake, VA
- NPI 1699940270
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
dba Chesapeake Regional Urgent Care
- Urgent Care Clinic/Center
- Chesapeake, VA
- NPI 1255215133
-
- Colon & Rectal Surgery Physician
- Portsmouth, VA
- NPI 1790794022
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chesapeake Regional Surgery Center at Virginia Beach
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1003265075
-
dba Chesapeake General Professional Pharmacy
- Pharmacy
- Chesapeake, VA
- NPI 1558466318
Hospital
-
dba Chesapeake General Hospital
- General Acute Care Hospital
- Chesapeake, VA
- NPI 1700896354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1235142357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIR",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237082111",
"telephone_number": "757-953-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIR",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237082111",
"telephone_number": "757-953-2154"
}
],
"practiceLocations": [
{
"address_1": "1250 E Marshall St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985023",
"country_code": "US",
"telephone_number": "804-827-1207",
"fax_number": "804-827-0701",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1213 E Clay St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985071",
"country_code": "US",
"telephone_number": "804-827-1207",
"fax_number": "804-827-0701",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "113 Gainsborough Sq Ste 400",
"address_purpose": "LOCATION",
"city": "Chesapeake",
"state": "VA",
"postal_code": "233201714",
"country_code": "US",
"telephone_number": "757-842-4499",
"fax_number": "757-842-4490",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Sentara Cir Ste 202",
"address_purpose": "LOCATION",
"city": "Williamsburg",
"state": "VA",
"postal_code": "231885727",
"country_code": "US",
"telephone_number": "757-984-9850",
"fax_number": "757-345-6643",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "US Marine Forces Command 2775 Forrestal Ave Bldg 33",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235151714",
"country_code": "US",
"telephone_number": "757-836-1552",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11958 W Broad St",
"address_purpose": "LOCATION",
"city": "Henrico",
"state": "VA",
"postal_code": "232331007",
"country_code": "US",
"telephone_number": "804-360-6449",
"fax_number": "804-827-0285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "MARK",
"middle_name": "STEPHEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2015-00091",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101248712",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "VA",
"license": "0101248712",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "VA",
"license": "0101248712",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.