VANESSA O. JOHNSON,M.D.,PC
NPI 1093967788
Clinic/Center - Primary Care in Petersburg, VA

Active since October 14, 2008
50 MEDICAL PARK BOULEVARD, SUITE B, PETERSBURG, VA 23805(804) 732-7100(804) 732-7101 Get Directions Write a Review

NPPES record last updated: October 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vanessa O. Johnson,m.d.,pc NPPES

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

VANESSA O. JOHNSON,M.D.,PC (NPI 1093967788) is a healthcare organization registered as a primary care in Petersburg, Virginia and active in the NPI registry since October 2008. The organization lists Vanessa O. Johnson, President/owner, as its authorized official.

NPPES Registry Identity

NPI1093967788
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVANESSA O. JOHNSON,M.D.,PC
Location Address50 MEDICAL PARK BOULEVARD, SUITE BPetersburg, VA 23805
Mailing Address50 Medical Park Boulevard, Suite BPetersburg, VA 23805 · (804) 732-7100 · Fax (804) 732-7101
Fax(804) 732-7101
Organization SubpartNo
Authorized OfficialVanessa O. JohnsonPresident/owner · (804) 732-7100
Enumeration DateOctober 14, 2008
NPI 1093967788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in VA · 0101039958
50 MEDICAL PARK BOULEVARD, Petersburg, VA 23805

Other Identifiers 1

Other1396866448VA · Npi

Other Providers at the Same Location NPPES 2

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

Internal Medicine
50 MEDICAL PARK BOULEVARD, SUITE C & D
PETERSBURG, VA 23805
Internal Medicine
50 MEDICAL PARK BOULEVARD, SUITE C & D
PETERSBURG, VA 23805

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 Vanessa O. Johnson,m.D.,pc's NPI number?

The NPI number for Vanessa O. Johnson,m.D.,pc is 1093967788. It was assigned to this organization in the NPPES registry on October 14, 2008.

Where is Vanessa O. Johnson,m.D.,pc located?

Vanessa O. Johnson,m.D.,pc is located at 50 Medical Park Boulevard Suite B, Petersburg, VA 23805. The listed phone number is (804) 732-7100.

What is Vanessa O. Johnson,m.D.,pc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Vanessa O. Johnson,m.D.,pc was last updated on October 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.