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TAIRY ADAMS JOHNSON P.A.-C
NPI 1063468890
Physician Assistant in Woodbridge, VA

Active since May 25, 2006PECOS Enrolled
2300 OPITZ BLVD, WOODBRIDGE, VA 22191(703) 523-1504 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 4, 2021, Jul 30, 2021, Jun 22, 2021 (3 updates tracked since 2021).

About Tairy Adams Johnson P.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAIRY ADAMS JOHNSON P.A.-C (NPI 1063468890) is an individual physician assistant in Woodbridge, Virginia, licensed in Virginia (0110001991) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063468890
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTAIRY ADAMS JOHNSONCredential: P.A.-C
Location Address2300 OPITZ BLVDWoodbridge, VA 22191-3311
Mailing Address2300 Opitz BlvdWoodbridge, VA 22191-3311 · (703) 523-1504
Phone(703) 523-1504
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateAugust 4, 20213 updates tracked since enumeration
NPPES CertifiedAugust 4, 2021
✔ NPI 1063468890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110001991
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 0110001991 (VA)
2300 OPITZ BLVD, Woodbridge, VA 22191
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Other Names 1

Professional Name (2)Tairy Elaine Johnson Pa-c

Other Identifiers 3

Medicaid010209838VA
Medicaid010209889VA
Medicaid010209862VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tairy Adams Johnson P.a.-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
24 services22 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22191 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TRAVIS HOWELL EDELSTEIN D.O.
Radiology (Vascular & Interventional Radiology)
2300 OPITZ BLVD
WOODBRIDGE, VA 22191
Prince William County (703) 523-0611
POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM
Pharmacy (Community/Retail Pharmacy)
2300 OPITZ BLVD
WOODBRIDGE, VA 22191
Prince William County (703) 523-1000
NORTHERN VIRGINIA ANESTHESIA ASSOC.
Anesthesiology
2300 OPITZ BLVD
WOODBRIDGE, VA 22191
Prince William County (703) 670-1357
BRENDAN L WATERS DO
Radiology (Diagnostic Radiology)
2300 OPITZ BLVD, DEPT OF RADIOLOGY
WOODBRIDGE, VA 22191
Prince William County (703) 607-1561
CASSANDRA J VAZQUEZ PA-C
Physician Assistant
2300 OPITZ BLVD
WOODBRIDGE, VA 22191
Prince William County (703) 523-1000
ANTONIO BACA M.D.
Emergency Medicine
2300 OPITZ BLVD
WOODBRIDGE, VA 22191
Prince William County (216) 288-1596
HELEN ALMARAZ
Specialist/Technologist, Other (Surgical Assistant)
2300 OPITZ BLVD
WOODBRIDGE, VA 22191
Prince William County (703) 523-2343
SENTARA MEDICAL GROUP
Hospitalist
2300 OPITZ BLVD, STE G-209
WOODBRIDGE, VA 22191
Prince William County (703) 523-0611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tairy Johnson's NPI number?

The NPI number for Tairy Johnson is 1063468890. It was assigned to this individual provider in the NPPES registry on May 25, 2006. The provider is also known as Tairy Elaine Johnson Pa-C.

Where is Tairy Johnson located?

Tairy Johnson practices at 2300 Opitz Blvd, Woodbridge, VA 22191. The listed phone number is (703) 523-1504.

What is Tairy Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tairy Johnson enrolled in Medicare?

Yes. Tairy Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tairy Johnson was last updated on August 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.