CHIPPENHAM AND JOHNSTON-WILLIS SPORTS MEDICINE, LLC
NPI 1740229608
Family Medicine - Sports Medicine in North Chesterfield, VA

Q: What is Chippenham And Johnston-Willis Sports Medicine, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since June 06, 2006

1115 BOULDERS PKWY STE 110, NORTH CHESTERFIELD, VA 23225(804) 560-6500 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 20, 2025, Nov 13, 2025, Jan 2, 2023 and 1 more (4 updates tracked since 2020).

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About Chippenham And Johnston-willis Sports Medicine, Llc NPPES

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

CHIPPENHAM AND JOHNSTON-WILLIS SPORTS MEDICINE, LLC (NPI 1740229608) is a healthcare organization registered as a sports medicine in North Chesterfield, Virginia and active in the NPI registry since June 2006. The organization lists Suzanne Bergamo, Vice President, as its authorized official.

NPPES Registry Identity

NPI1740229608

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameCHIPPENHAM AND JOHNSTON-WILLIS SPORTS MEDICINE, LLC

Location Address1115 BOULDERS PKWY STE 110North Chesterfield, VA 23225-4067

Mailing Address2000 Health Park DrBrentwood, TN 37027-4692 · (615) 373-7406

Phone(804) 560-6500

Organization SubpartNo

Authorized OfficialSuzanne BergamoVice President · (804) 267-5950

Enumeration DateJune 6, 2006

Last NPPES UpdateNovember 20, 20254 updates tracked since enumeration

NPPES CertifiedNovember 20, 2025

✔ NPI 1740229608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

1115 BOULDERS PKWY STE 110, North Chesterfield, VA 23225

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chippenham And Johnston-willis Sports Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 12 clinicians reassign Medicare billing to Chippenham And Johnston-Willis Sports Medicine, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (12)

Ahmad Fashandi, MD

Orthopedic Surgery

NPI 1538503545

1115 BOULDERS PARKWAY SUITE 100
North Chesterfield, VA 23225

(804) 320-1339

✔ PECOS✔ Accepts MedicareSame address

Carlos Kennedy, MD

Orthopedic Surgery

NPI 1104841857

2819 N PARHAM RD STE 100
Richmond, VA 23294

(804) 288-9466

✔ PECOS✔ Accepts Medicare7.8 mi

David Weiss, MD

Orthopedic Surgery

NPI 1558354654

545 RAY C HUNT DR STE 310
Charlottesville, VA 22903

(434) 243-5432

✔ PECOS✔ Accepts Medicare65 mi

Erica Crump, M.D.

Orthopedic Surgery

NPI 1649659616

620 JOHN PAUL JONES CIR
Portsmouth, VA 23708

(757) 953-1812

✔ PECOS✔ Accepts Medicare82 mi

Timothy Murphy, MD

Orthopedic Surgery

NPI 1174013544

9300 DEWITT LOOP
Fort Belvoir, VA 22060

(571) 231-2191

✔ PECOS✔ Accepts Medicare85 mi

Christopher Renninger, MD

Orthopedic Surgery

NPI 1487917720

8901 ROCKVILLE PIKE
Bethesda, MD 20889

(301) 319-2450

✔ PECOS✔ Accepts Medicare105 mi

Haley Sernandez, DO

Orthopedic Surgery

NPI 1821556663

1 COOPER PLZ
Camden, NJ 08103

(856) 342-3159

✔ PECOS✔ Accepts Medicare212 mi

Tuesday Fisher, M.D.

Orthopedic Surgery

NPI 1578903100

2300 S 1ST ST
Champaign, IL 61820

(217) 383-3260

✔ PECOS✔ Accepts Medicare604 mi

Rena Stewart

Orthopedic Surgery

NPI 1386696391

2173 NORMANDIE DR
Montgomery, AL 36111

(334) 438-2642

✔ PECOS✔ Accepts Medicare611 mi

Brian Cross, DO

Orthopedic Surgery

NPI 1275564064

1601 S ANDREWS AVE FL 2
Fort Lauderdale, FL 33316

(954) 355-3490

✔ PECOS✔ Accepts Medicare801 mi

Ulises Militano, MD

Orthopedic Surgery

NPI 1376545079

11760 BIRD ROAD STE 722
Miami, FL 33175

(305) 559-1883

✔ PECOS✔ Accepts Medicare829 mi

James Burgess, MD

Orthopedic Surgery

NPI 1851778401

2817 ROCK MERRITT AVENUE ORHTOPAEDIC CLINIC 1ST FLOOR
Fort Bragg, NC 28310

(910) 907-6784

✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Chippenham And Johnston-Willis Sports Medicine, LLC's NPI number?

The NPI number for Chippenham And Johnston-Willis Sports Medicine, LLC is 1740229608. It was assigned to this organization in the NPPES registry on June 6, 2006.

Where is Chippenham And Johnston-Willis Sports Medicine, LLC located?

Chippenham And Johnston-Willis Sports Medicine, LLC is located at 1115 Boulders Pkwy Ste 110, North Chesterfield, VA 23225. The listed phone number is (804) 560-6500.

What is Chippenham And Johnston-Willis Sports Medicine, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Chippenham And Johnston-Willis Sports Medicine, LLC enrolled in Medicare?

Yes. Chippenham And Johnston-Willis Sports Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chippenham And Johnston-Willis Sports Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians, all in Orthopedic Surgery, reassign their Medicare billing to Chippenham And Johnston-Willis Sports Medicine, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Chippenham And Johnston-Willis Sports Medicine, LLC was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.