Individual provider Active NPI

Sara Beth Johnson, PA-C

  • Physician Assistant
  • Mechanicsville, VA
National Provider Identifier
1922638824
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110009864 Issued in VA
Practice address
8266 Atlee Rd Ste 230
Mechanicsville, VA 23116-1813
Phone
(804) 789-5990
Fax
(804) 789-5989
NPI assigned
Jan 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2393 WV
Physician Assistant 363A00000X 0110009864 VA Primary

Addresses

Primary practice location

8266 Atlee Rd Ste 230
Mechanicsville, VA 23116-1813

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SaraB.Johnson@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, VA2 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
I20220621003294 SC Practitioner - Physician Assistant 4587081476 Reassigns benefits to 1 organization
I20240619000645 VA Practitioner - Physician Assistant 4587081476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

5201 Hickory Park Dr
Suite a
Glen Allen, VA 23059-2623
Phone (804) 262-6060

8266 Atlee Rd
Suite 230
Mechanicsville, VA 23116-1813
Phone (804) 789-5990

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Mar 17, 2024 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Mar 17, 2024 Accepting new patients
Pinnacle Plastic Surgery Associates LLC CurrentSince Jun 13, 2022 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

7 Mallett Way
Bluffton, SC 29910
Phone (513) 543-7648

5201 Hickory Park Dr
Ste A
Glen Allen, VA 23059
Phone (804) 262-6060

8266 Atlee Rd
Ste 230
Mechanicsville, VA 23116
Phone (804) 730-0792

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Organizations & group practices 5

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": "1579392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1922638824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8266 ATLEE RD STE 230",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161813",
            "telephone_number": "804-789-5990",
            "fax_number": "804-789-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SARA",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-19",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "2393",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110009864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SaraB.Johnson@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "8266 Atlee Rd Ste 230",
            "city": "Mechanicsville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231161813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.