Individual provider Active NPI

Jonathan Keith Mason, MD

  • Pediatrics Physician
  • Midlothian, VA
National Provider Identifier
1699972174
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101246747 Issued in VA
Practice address
13821 Village Mill Dr Ste a
Midlothian, VA 23114-4314
Phone
(804) 794-2821
Fax
(804) 794-4072
NPI assigned
Jun 28, 2007
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101246747 VA Primary

Addresses

Primary practice location

13821 Village Mill Dr Ste a
Midlothian, VA 23114-4314

Mailing address

PO Box 549
Midlothian, VA 23113-0549
Phone (804) 794-2821

Other practice location 1

3864 Old Buckingham Rd Unit B
Powhatan, VA 23139-7019
Phone (804) 794-2821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101246747VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric & Adolescent Health Partners, P.C. Pediatrics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1699972174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231130549",
            "telephone_number": "804-794-2821",
            "fax_number": "804-794-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13821 VILLAGE MILL DR STE A",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144314",
            "telephone_number": "804-794-2821",
            "fax_number": "804-794-4072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3864 Old Buckingham Rd Unit B",
            "address_purpose": "LOCATION",
            "city": "Powhatan",
            "state": "VA",
            "postal_code": "231397019",
            "country_code": "US",
            "telephone_number": "804-794-2821",
            "fax_number": "804-794-4072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "JONATHAN",
        "middle_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101246747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.