Individual provider Active NPI

Mark Stephen Johnson, MD

  • Surgery Physician
  • Portsmouth, VA
National Provider Identifier
1235142357
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101248712 Issued in VA
Practice address
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone
(757) 953-2154
NPI assigned
Aug 14, 2006
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170810000008 VA Practitioner - General Surgery 1658672456 Reassigns benefits to 3 organizations

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
Chesapeake Regional Medical GroupGroup PAC ID 8426113663, 148 clinicians

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

LicenseStateTypeSpecialty
2015-00091NCMDSurgery Physician
0101248712VAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Regional Medical Group CurrentSince Jul 1, 2021 Accepting new patients
Sentara Medical Group CurrentSince Aug 7, 2017 Accepting new patients
Chesapeake Regional Medical Group Surgery CurrentSince Jul 1, 2021 Accepting new patients
MCV Associated Physicians CurrentSince Aug 15, 2024 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

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

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": "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

Verify at the official NPI Registry.