Atlantic Family Medicine

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

0101239405 Issued in VA

Legal business name

ATLANTIC FAMILY MEDICINE

Practice address

837 First Colonial Rd
Suite B
Virginia Beach, VA 23451-6195

Phone

(757) 493-1965

Fax

(757) 544-9873

NPI assigned

Dec 4, 2014

Last updated

Apr 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Ryan Johnson, M.D.

Title

President

Phone

(757) 493-1965

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1407253503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 FIRST COLONIAL RD",
            "address_2": "SUITE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516195",
            "telephone_number": "757-493-1965",
            "fax_number": "757-544-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 FIRST COLONIAL RD",
            "address_2": "SUITE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516195",
            "telephone_number": "757-493-1965",
            "fax_number": "757-544-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-493-1965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "VA",
            "license": "0101239405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Medicine Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Adult Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.