1. Home
  2. Directory
  3. Virginia
  4. Lynchburg
  5. Physician Assistant
  6. NPI Profile

KAITLYN JOHNSON
NPI 1528956240
Physician Assistant in Lynchburg, VA

Active since June 24, 2025PECOS Enrolled
1501 LAKESIDE DR, LYNCHBURG, VA 24501(434) 544-8100 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kaitlyn Johnson NPPES

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

KAITLYN JOHNSON (NPI 1528956240) is an individual physician assistant in Lynchburg, Virginia and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Bon Secours Southside Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1528956240
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAITLYN JOHNSON
Location Address1501 LAKESIDE DRLynchburg, VA 24501-3113
Mailing Address1501 Lakeside DrLynchburg, VA 24501-3113
Phone(434) 544-8100
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 24, 2025
NPPES CertifiedJune 24, 2025
✔ NPI 1528956240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1501 LAKESIDE DR, Lynchburg, VA 24501
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032603261
PECOS Enrollment IDI20251215001709
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490067
Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24501 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.

RYAN GEORGE WITTER
Specialist/Technologist (Athletic Trainer)
1501 LAKESIDE DR
LYNCHBURG, VA 24501
Campbell County (703) 965-6421
DEBBIE ANN BRADNEY ATC
Specialist/Technologist (Athletic Trainer)
1501 LAKESIDE DR
LYNCHBURG, VA 24501
Campbell County (434) 544-8522
GREER ORCHARD TRAINHAM
Physician Assistant
1501 LAKESIDE DR
LYNCHBURG, VA 24501
Campbell County (434) 544-8876
NICHOLAS VINCENT DIGIOVANNANTONIO
Physician Assistant
1501 LAKESIDE DR
LYNCHBURG, VA 24501
Campbell County (434) 544-8876
YAZMINE JONES BS, ATS
Specialist/Technologist (Athletic Trainer)
1501 LAKESIDE DR
LYNCHBURG, VA 24501
Campbell County (434) 544-8100
SYLVIA SHIN
Physician Assistant
1501 LAKESIDE DR
LYNCHBURG, VA 24501
Campbell County (434) 544-8876
MICKI JADE EVANS
Specialist/Technologist (Athletic Trainer)
1501 LAKESIDE DR
LYNCHBURG, VA 24501
Campbell County (434) 544-8100
DILLON GEIER
Physician Assistant
1501 LAKESIDE DR
LYNCHBURG, VA 24501
Campbell County (434) 544-8100

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 Kaitlyn Johnson's NPI number?

The NPI number for Kaitlyn Johnson is 1528956240. It was assigned to this individual provider in the NPPES registry on June 24, 2025.

Where is Kaitlyn Johnson located?

Kaitlyn Johnson practices at 1501 Lakeside Dr, Lynchburg, VA 24501. The listed phone number is (434) 544-8100.

What is Kaitlyn Johnson's specialty?

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

Is Kaitlyn Johnson enrolled in Medicare?

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

Is Kaitlyn Johnson affiliated with any hospitals?

According to CMS data, Kaitlyn Johnson is affiliated with Bon Secours Southside Medical Center.

When was this NPI record last updated?

The NPPES record for Kaitlyn Johnson was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.