Individual provider Active NPI

Sharita Nicolle Johnson, M.D

  • Emergency Medicine Physician
  • Petersburg, WV
National Provider Identifier
1598055642
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
27400 Issued in WV
Practice address
117 Hospital Dr
Petersburg, WV 26847-9566
Phone
(800) 541-4009
NPI assigned
Apr 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2017

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 0101256435 VA
Emergency Medicine Physician 207P00000X 27400 WV Primary

Addresses

Primary practice location

117 Hospital Dr
Petersburg, WV 26847-9566

Mailing address

PO Box 763
Morgantown, WV 26507-0763
Phone (800) 541-4009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 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
I20140902002013 VA Practitioner - Emergency Medicine 4385862440 Reassigns benefits to 3 organizations
I20170426000525 WV Practitioner - Emergency Medicine 4385862440 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

7700 E Parham Rd
Richmond, VA 23294-4301
Phone (804) 747-5600

Hospital & facility affiliations

  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • Riverside Walter Reed Hospital Hospital, Gloucester, VA, CCN 490130

Merit-based Incentive Payment System (MIPS)

Final score
94.91 of 100Reported as apm
Quality
92.86
Promoting interoperability
94.93
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Apr 1, 2017 Accepting new patients
Riverside Physician Services Inc CurrentSince Jul 1, 2014 Accepting new patients
Riverside Physician Services Inc Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince Apr 1, 2017 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jan 30, 2018 Accepting new patients
West Virginia Emergency Physicians, LLP Emergency Medicine CurrentSince Jun 1, 2017 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jan 30, 2018 Accepting new patients
Arnot Medical Services PLLC Emergency Medicine Past Accepting new patients
Potomac Valley Hospital of W VA , Inc PastSince Dec 22, 2019 Accepting new patients
Riverside Physician Services Inc Past Accepting new patients

Locations

75 Remit Dr
Chicago, IL 60675

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

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

1 Arh Ln
Low Moor, VA 24457
Phone (540) 862-6223

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

20480 Market St
Onancock, VA 23417
Phone (757) 302-2100

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

1500 N 28th St
Richmond, VA 23223
Phone (804) 225-1700

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

1500 Commonwealth Ave
Williamsburg, VA 23185
Phone (757) 585-2200

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

117 Hospital Dr
Petersburg, WV 26847
Phone 30497450009312

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000

Interoperability endpoints

  • Direct secure messaging: sjohnson12436@direct.rivhs.com

Organizations & group practices 12

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 2

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": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494892800000",
    "number": "1598055642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 763",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265070763",
            "telephone_number": "800-541-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 HOSPITAL DR",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268479566",
            "telephone_number": "800-541-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHARITA",
        "middle_name": "NICOLLE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2017-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101256435",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "27400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, WV

Sources for this page

Verify at the official NPI Registry.