Individual provider Active NPI

Anita Jo Vincent-Johnson, MD

  • Nephrology Physician
  • Fishersville, VA
National Provider Identifier
1386008555
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101272983 Issued in VA
Practice address
9 Pinnacle Dr Ste A03
Fishersville, VA 22939-2367
Phone
(844) 472-8711
Fax
(844) 472-8712
NPI assigned
Apr 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101272983 VA Primary

Addresses

Primary practice location

9 Pinnacle Dr Ste A03
Fishersville, VA 22939-2367

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Other practice location 1

1906 Belleview Ave
Roanoke, VA 24014
Phone (540) 981-7000

Other practice location 2

70 Medical Center Cir Ste 207
Fishersville, VA 22939-2273
Phone (540) 932-5870

Other practice location 3

1215 Lee St
Charlottesville, VA 22908-2367
Phone (434) 924-0211

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
I20211008000246 VA Practitioner - NephrologyPractitioner - Internal Medicine 3072807114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Virginia Physicians GroupGroup PAC ID 4880590728, 1,685 clinicians

Practice addresses (Care Compare)

9 Pinnacle Dr
A03
Fishersville, VA 22939-2367
Phone (844) 472-8711

Hospital & facility affiliations

  • UVA Staunton Dialysis Dialysis facility, Staunton, VA, CCN 493516
  • Uva Augusta Dialysis Dialysis facility, Fishersville, VA, CCN 493509
  • University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009
  • Augusta Health Hospital, Fishersville, VA, CCN 490018
  • Sentara RMH Medical Center Hospital, Harrisonburg, VA, CCN 490004

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
79.76
Promoting interoperability
100
Improvement activities
40
Cost
75.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101272983VAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Aug 11, 2021 Accepting new patients
Rector & Visitors of the University of Virginia Past Accepting new patients

Locations

1300 Jefferson Park Ave
#5
Charlottesville, VA 22903

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

70 Medical Center Cir
Ste 207
Fishersville, VA 22939
Phone (540) 332-5870

9 Pinnacle Dr
Ste A03
Fishersville, VA 22939
Phone (844) 472-8711

Interoperability endpoints

  • Direct secure messaging: avincentjohnson437964@direct.healthsystem.virginia.edu

Organizations & group practices 2

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 5

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": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1386008555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 PINNACLE DR STE A03",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392367",
            "telephone_number": "844-472-8711",
            "fax_number": "844-472-8712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1906 Belleview Ave",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "24014",
            "country_code": "US",
            "telephone_number": "540-981-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Medical Center Cir Ste 207",
            "address_purpose": "LOCATION",
            "city": "Fishersville",
            "state": "VA",
            "postal_code": "229392273",
            "country_code": "US",
            "telephone_number": "540-932-5870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229082367",
            "country_code": "US",
            "telephone_number": "434-924-0211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINCENT-JOHNSON",
        "first_name": "ANITA",
        "middle_name": "JO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101272983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.