Individual provider Active NPI

Zelda West Johnson, M.D.

  • Family Medicine Physician
  • Glen Allen, VA
National Provider Identifier
1801933007
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101057120 Issued in VA
Practice address
4101 Dominion Blvd
Glen Allen, VA 23060-3457
Phone
(804) 908-3489
Fax
(804) 232-1592
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101057120 VA Primary

Addresses

Primary practice location

4101 Dominion Blvd
Glen Allen, VA 23060-3457

Mailing address

4101 Dominion Blvd
Ste 300
Glen Allen, VA 23060-3457
Phone (804) 644-5440

Other identifiers 3

IdentifierTypeStateIssuer
005602912MedicaidVA
453771OtherVABC/BS OF VA
259227OtherVABC/BS OF VA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040506001747 VA Practitioner - Family Practice 1153310073 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starting Point of Virginia PCGroup PAC ID 9931535820, 26 clinicians

Practice addresses (Care Compare)

10531 S Crater Rd
South Prince George, VA 23805-7333
Phone (800) 805-6989

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101057120VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Starting Point of Virginia, P.C. CurrentSince Feb 11, 2021 Accepting new patients
Virginia Treatment Center of Lynchburg PC CurrentSince Aug 1, 2025 Accepting new patients
Roanoke Valley Healthcare Partners, LLC Family Medicine CurrentSince May 4, 2024 Accepting new patients
Starting Point of Virginia, P.C. CurrentSince Feb 11, 2021 Accepting new patients
Metro Treatment of Virginia LP CurrentSince Apr 4, 2022 Accepting new patients
Crossroads Treatment Center of Petersburg, PC CurrentSince Jan 1, 2023 Accepting new patients
Healthvisions MD Inc Family Medicine CurrentSince May 17, 2021 Accepting new patients
Southside Family Practice P.C. Family Medicine Past Accepting new patients
Alliance Family Practice, P.C. Family Medicine Past Accepting new patients

Locations

301 Falls Dr NW
Ste 353
Abingdon, VA 24210
Phone (804) 431-5585

1555 Meadowview Dr
Ste 7
Danville, VA 24541
Phone (434) 333-6923

4024 Plank Rd
Fredericksburg, VA 22407

4101 Dominion Blvd
Ste 300
Glen Allen, VA 23060
Phone (804) 747-5555

4101 Dominion Blvd
Glen Allen, VA 23060
Phone (804) 747-5555

30 Baxter Dr
Ste 170
Harrisonburg, VA 22801
Phone 5409083917 ext. 15646

2250 Murrell Rd
Ste B
Lynchburg, VA 24501

2250 Murrell Rd
Lynchburg, VA 24501
Phone (434) 444-9902

445 Commonwealth Blvd E
Ste B
Martinsville, VA 24112
Phone (276) 632-3841

12731 Stone Village Way
Midlothian, VA 23113
Phone (804) 379-1500

1230 Alverser Dr
Ste 100
Midlothian, VA 23113
Phone (804) 423-9919

3021 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 213-0249

227 E Belt Blvd
Ste C
Richmond, VA 23224

10531 S Crater Rd
South Prince George, VA 23805
Phone (804) 431-5820

10543 S Crater Rd
South Prince George, VA 23805
Phone (804) 431-5585

500 Pegasus Ct
Ste 508
Winchester, VA 22602
Phone (540) 974-5445

163 Plaza Rd SW
Wise, VA 24293

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1801933007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 DOMINION BLVD",
            "address_2": "STE 300",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603457",
            "telephone_number": "804-644-5440",
            "fax_number": "804-497-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 DOMINION BLVD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603457",
            "telephone_number": "804-908-3489",
            "fax_number": "804-232-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ZELDA",
        "middle_name": "WEST",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101057120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005602912",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF VA",
            "identifier": "453771",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF VA",
            "identifier": "259227",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.