Individual provider Active NPI

Jeffrey D Johnson, M.D.

  • Emergency Medicine Physician
  • Franklin, VA
National Provider Identifier
1376574988
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101238837 Issued in VA
Practice address
100 Fairview Dr
Franklin, VA 23851-1238
Phone
(757) 569-6100
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2015-02138 NC
Emergency Medicine Physician 207P00000X 0101238837 VA Primary

Addresses

Primary practice location

100 Fairview Dr
Franklin, VA 23851-1238

Mailing address

100 Fairview Dr
Franklin, VA 23851-1238
Phone (757) 569-6100

Other practice location 1

Peninsula Emergency Physicians
3000 Coliseum drive
hampton, VA 23666
Phone (757) 736-2000

Other identifiers 1

IdentifierTypeStateIssuer
010196671MedicaidVA

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051006000799 VA Practitioner - Emergency Medicine 4981682267 Reassigns benefits to 3 organizations
I20160209000950 NC Practitioner - Emergency Medicine 4981682267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Eastern Virginia Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexandria Springfield Emergency Physicians PC 38 clinicians
Emergency Medicine Associates P.a., P.C. 706 clinicians

Practice addresses (Care Compare)

100 Fairview Dr
Franklin, VA 23851-1238
Phone (240) 686-2300

101 Harris Rd
Kilmarnock, VA 22482-3880
Phone (240) 686-2300

Hospital & facility affiliations

  • Bon Secours Southampton Memorial Hospital Hospital, Franklin, VA, CCN 490092
  • Bon Secours Harbour View Medical Center Hospital, Suffolk, VA, CCN 490148
  • Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109

Merit-based Incentive Payment System (MIPS)

Final score
95.52 of 100Reported as group
Quality
91.6
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2015-02138NCMDEmergency Medicine Physician
0101238837VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Nov 1, 2016 Accepting new patients
Emergency Medicine Physicians of Mecklenburg County, PLLC Emergency Medicine CurrentSince Dec 20, 2022 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Feb 15, 2014 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Mar 1, 2021 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jul 1, 2017 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jul 1, 2017 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Mar 1, 2021 Accepting new patients
Doctors for Emergency Service Emergency Medicine Past Accepting new patients
North Carolina Em I Medical Services P C Past Accepting new patients

Locations

20010 Century Blvd
Ste 200
Germantown, MD 20874

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

4800 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 449-4500

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 281-8100

727 N Main St
Emporia, VA 23847
Phone (434) 348-4400

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

3000 Coliseum Dr
Hampton, VA 23666
Phone (757) 736-1000

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

101 Harris Rd
Kilmarnock, VA 22482
Phone (804) 435-0997

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

Organizations & group practices 10

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 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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1376574988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FAIRVIEW DR",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238511238",
            "telephone_number": "757-569-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FAIRVIEW DR",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238511238",
            "telephone_number": "757-569-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Peninsula Emergency Physicians",
            "address_2": "3000 Coliseum drive",
            "address_purpose": "LOCATION",
            "city": "hampton",
            "state": "VA",
            "postal_code": "23666",
            "country_code": "US",
            "telephone_number": "757-736-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2015-02138",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101238837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010196671",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, VA

Sources for this page

Verify at the official NPI Registry.