Jason R Johnson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101239405 Issued in VA

Practice address

837 First Colonial Rd Ste B
Virginia Beach, VA 23451

Phone

(757) 961-5141

Fax

(757) 544-9873

NPI assigned

Aug 17, 2005

Last updated

Mar 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1730171521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 FIRST COLONIAL RD STE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516195",
            "telephone_number": "757-961-5141",
            "fax_number": "757-544-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 FIRST COLONIAL RD STE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23451",
            "telephone_number": "757-961-5141",
            "fax_number": "757-544-9873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2523 Delaney Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284036003",
            "country_code": "US",
            "telephone_number": "910-763-0175",
            "fax_number": "910-763-0413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "837 First Colonial Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "23451",
            "country_code": "US",
            "telephone_number": "757-961-5141",
            "fax_number": "757-544-9873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JASON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101239405",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200500866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Vincent Johnson Jr., SRNA
• Heidi Lynn Johnson
• Hillary Johnson, OTR/L
• James Allen Johnson Jr., ED.S., LMFT, BCN
• Jasmine Johnson
• Jazmin Johnson, MS, BCBA, LBA
• Jcelyn Johnson
• Jenni Johnson, O.D.
• Jessie Johnson
• Kaberlyn L Johnson

• Family Medicine Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.