Individual provider Active NPI

Johnathan M Pierson, PA-C

  • Physician Assistant
  • Lynchburg, VA
National Provider Identifier
1548376320
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
818 Issued in WV
Practice address
119 Tradewynd Dr Ste a
Lynchburg, VA 24502-5288
Phone
(434) 237-3376
Fax
(434) 237-3330
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 818 WV Primary

Addresses

Primary practice location

119 Tradewynd Dr Ste a
Lynchburg, VA 24502-5288

Mailing address

119 Tradewynd Dr Ste a
Lynchburg, VA 24502-5288
Phone (434) 237-3376

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220208002651 VA Practitioner - Physician Assistant 9739346271

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

119 Tradewynd Dr
Suite a
Lynchburg, VA 24502-5287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: jpierson@sevenhillsderm.emadirect.md

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1548376320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 TRADEWYND DR STE A",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025288",
            "telephone_number": "434-237-3376",
            "fax_number": "434-237-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 TRADEWYND DR STE A",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025288",
            "telephone_number": "434-237-3376",
            "fax_number": "434-237-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "JOHNATHAN",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.