DR. EDWARD ALEX JOHNSON M.D.
NPI 1902079015
Pediatrics in Norfolk, VA

Q: What is Edward Johnson's NPI number?

The NPI number for Edward Johnson is 1902079015. It was assigned to this individual provider in the NPPES registry on April 9, 2008.

Q: What is Edward Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Edward Johnson was last updated on February 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 09, 2008PECOS Enrolled

811 REDGATE AVE, NORFOLK, VA 23507(757) 668-7007 Get Directions Write a Review

NPPES record last updated: February 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Edward Alex Johnson M.d. NPPES

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

DR. EDWARD ALEX JOHNSON M.D. (NPI 1902079015) is an individual pediatrics provider in Norfolk, Virginia, licensed in Virginia (0101249802) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1902079015

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. EDWARD ALEX JOHNSONCredential: M.D.

Location Address811 REDGATE AVENorfolk, VA 23507-1515

Mailing Address811 Redgate AveNorfolk, VA 23507-1515

Phone(757) 668-7007

Sole ProprietorNo

Enumeration DateApril 9, 2008

Last NPPES UpdateFebruary 19, 2019

✔ NPI 1902079015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in VA · 0101249802

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

811 REDGATE AVE, Norfolk, VA 23507

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Secondary Practice Location 1

Location 1600 Moye Blvd, ECU PediatricsGreenville, NC 27834-4300 · Phone (252) 744-2335 · Fax (252) 744-3811

Other Identifiers 3

Other186RLNC · Bcbs Nc

Medicaid1902079015NC

Medicaid315974SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edward Alex Johnson M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23507 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

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

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 7

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

DR. VALBONA KANAREK MD

Anesthesiology (Pediatric Anesthesiology)