Individual provider Active NPI

John R Lennon IV, P.A.

  • Physician Assistant
  • Chesapeake, VA
National Provider Identifier
1669581500
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-08694 Issued in NC
Practice address
1034 Battlefield Blvd S Ste 100
Chesapeake, VA 23322-4215
Phone
(757) 312-2299
Fax
(757) 312-2256
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-08694 NC Primary
Physician Assistant 363A00000X 0110002100 VA

Addresses

Primary practice location

1034 Battlefield Blvd S Ste 100
Chesapeake, VA 23322-4215

Mailing address

1301 Executive Blvd Ste 200
Chesapeake, VA 23320-3671
Phone (757) 842-4481

Other practice location 1

1141 N Road St Ste G
Elizabeth City, NC 27909-3354
Phone (252) 337-9120

Other practice location 2

1950 Glenn Mitchell Dr Ste 300
Virginia Beach, VA 23456-0048
Phone (757) 507-0305

Other practice location 3

3432 Holland Rd
Virginia Beach, VA 23452-4846
Phone (757) 468-1855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050928000485 VA Practitioner - Physician Assistant 9638104789 Reassigns benefits to 5 organizations
I20190226003314 NC Practitioner - Physician Assistant 9638104789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Regional Medical GroupGroup PAC ID 8426113663, 148 clinicians

Practice addresses (Care Compare)

1034 Battlefield Blvd S
Chesapeake, VA 23322-4215
Phone (757) 312-2299

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-08694NCMDPhysician Assistant
0110002100VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Regional Medical Group CurrentSince Nov 1, 2025 Accepting new patients
Velocity Urgent Care, LLC CurrentSince Feb 1, 2019 Accepting new patients
Quickcare Health Inc CurrentSince Oct 15, 2021 Accepting new patients
Sentara Medical Group CurrentSince Jun 14, 2021 Accepting new patients
Chesapeake Regional Medical Group Physician Assistant PastSince Nov 7, 2025 Accepting new patients
Tidewater Emergency Medical Care Physician Assistant PastSince Feb 2, 2020 Accepting new patients
Blue Ridge Healthcare Partners, LLC Past Accepting new patients
Waterway Emergency Physicians LLC Past Accepting new patients

Locations

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

1141 N Road St
Ste G
Elizabeth Cty, NC 27909
Phone (252) 335-5424

1034 Battlefield Blvd S
Chesapeake, VA 23322
Phone (757) 312-2299

1301 Executive Blvd
#200
Chesapeake, VA 23320
Phone (757) 312-6460

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

1034 Battlefield Blvd S
Ste 100
Chesapeake, VA 23322
Phone (757) 312-2299

667 Kingsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 312-3132

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1013 University Blvd
Ste 270280
Suffolk, VA 23435
Phone (757) 600-8451

2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850

1950 Glenn Mitchell Dr
Ste 300
Virginia Beach, VA 23456
Phone (757) 507-0305

4374 New Town Ave
Williamsburg, VA 23188
Phone (757) 772-6124

12825 Minnieville Rd
Woodbridge, VA 22192
Phone (703) 523-9800

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1669581500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 EXECUTIVE BLVD STE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203671",
            "telephone_number": "757-842-4481",
            "fax_number": "757-312-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 BATTLEFIELD BLVD S STE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224215",
            "telephone_number": "757-312-2299",
            "fax_number": "757-312-2256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1141 N Road St Ste G",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279093354",
            "country_code": "US",
            "telephone_number": "252-337-9120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 Glenn Mitchell Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234560048",
            "country_code": "US",
            "telephone_number": "757-507-0305",
            "fax_number": "757-507-0306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3432 Holland Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234524846",
            "country_code": "US",
            "telephone_number": "757-468-1855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENNON",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_suffix": "IV",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08694",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.