Active NPI
Sherry R Johnson, FNP-C
- Family Nurse Practitioner
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024182611
- Practice address
- 549 E Brambleton Ave
Norfolk, VA 23510-2905 - Phone
- (757) 533-9441
- NPI assigned
- Aug 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024182611 | VA | Primary |
Addresses
Primary practice location
549 E Brambleton Ave
Norfolk, VA 23510-2905
Mailing address
5301 Providence Rd Ste 50
VA Beach, VA 23464-4128
Phone (757) 799-0837
Other practice location 1
5301 Providence Rd Ste 50
VA Beach, VA 23464-4128
Phone (757) 799-0837
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407468556 | Medicaid | VA | |
| GAA-NP000905 | Other | LICENSE |
Other names 1
- Sherry Ingram Johnson
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1395 NW 167TH St
Miami, FL 33169-5710
500 W Jefferson St
Suite 2310
Louisville, KY 40202-2881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024182611 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaptivative Konsultants PLLC Dba Kaptivative Care and Wellness | Current | Accepting new patients | |
| Community Health Care Systems, Inc | Current | Accepting new patients | |
| PMR Virginia Holding, LLC | Current | Accepting new patients | |
| Community Health Care Systems, Inc | Current | Accepting new patients | |
| Community Health Care Systems, Inc. | Current | Accepting new patients | |
| Jencare Neighborhood Medical East Richmond, LLC | Past | Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
1008 Atlanta Hwy
Warrenton, GA 30828
Phone (706) 465-3253
2251 W Elm St
Wrightsville, GA 31096
Phone (478) 864-2600
549 E Brambleton Ave
Norfolk, VA 23510
Phone (757) 393-1136
3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143
5301 Providence Rd
Ste 50
Virginia Beach, VA 23464
Phone (757) 495-2228
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Virginia Beach, VA
- NPI 1124904727
-
- Federally Qualified Health Center (FQHC)
- Sandersville, GA
- NPI 1184515694
-
- Clinic/Center
- Macon, GA
- NPI 1659818623
-
- Federally Qualified Health Center (FQHC)
- Wrightsville, GA
- NPI 1932150422
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1891089454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1407468556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 PROVIDENCE RD STE 50",
"city": "VA BEACH",
"state": "VA",
"postal_code": "234644128",
"telephone_number": "757-799-0837",
"fax_number": "757-861-9011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "549 E BRAMBLETON AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235102905",
"telephone_number": "757-533-9441"
}
],
"practiceLocations": [
{
"address_1": "5301 Providence Rd Ste 50",
"address_purpose": "LOCATION",
"city": "VA Beach",
"state": "VA",
"postal_code": "234644128",
"country_code": "US",
"telephone_number": "757-799-0837",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "SHERRY",
"middle_name": "R",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-20",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024182611",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1407468556",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "GAA-NP000905",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHERRY",
"last_name": "JOHNSON",
"middle_name": "INGRAM",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.