Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801896022 Individual Practitioner Female Practitioner

Dr. Mary H Johnson , MD

Pediatrics • Abingdon, VA

Professional Overview & Biography Verified Profile Summary

Dr. Mary Johnson, MD is a registered healthcare professional specializing in Pediatrics in Abingdon, VA. Practice services are available at 16000 JOHNSTON MEMORIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16000 Johnston Memorial Dr
4th Floor

Abingdon, VA 242117664

Telephone 2762584050
Fax 2762584056
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Abingdon, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
9 Specialists

Practicing in Abingdon, VA (2079 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VA 0101052591

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.

Emergency Medicine - Pediatric Emergency Medicine

NUCC Taxonomy Code: 207PP0204X

State License TN 27331

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

Emergency Medicine - Pediatric Emergency Medicine

NUCC Taxonomy Code: 207PP0204X

State License NC 9401227

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1801896022 (VA)
Medicaid State Provider ID
Q015237 (TN)
Medicaid State Provider ID
8946440 (NC)
Commercial Insurance / Payer ID Bcbs
46440 (NC)
Commercial Insurance / Payer ID Medcost
NPI (NC)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Dr. Joe Rupe , MD

Internal Medicine

NPI 1013986264

Doctor of Medicine (M.D.)

NPI 1154614816

Doctor of Medicine (M.D.)

NPI 1356338495

Doctor of Medicine (M.D.)

Dr. Brian Stiltner , DO

Internal Medicine

NPI 1356638076

Doctor of Osteopathic Medicine (D.O.)

Afton Cope , FNP-BC

Nurse Practitioner - Family

NPI 1396275558

Family Nurse Practitioner (Board Certified)

Dr. Warren Chang , MD

Internal Medicine

NPI 1407057920

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active February 10, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address February 10, 2017

Registered at 16000 JOHNSTON MEMORIAL DR, 4TH FLOOR, ABINGDON, VA 242117664 (Tel: 2762584050)

📍
Updated Practice Location February 10, 2017

Registered at 16000 JOHNSTON MEMORIAL DR, 4TH FLOOR, ABINGDON, VA 242117664 (Tel: 2762584050)

👤
Provider Name / Credentials Updated February 10, 2017

Recorded as MARY JOHNSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2017

Emergency Medicine (License #27331 in TN)

NPI Profile Active November 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2015

Registered at 16000 JOHNSTON MEMORIAL DR, 4TH FLOOR, ABINGDON, VA 242117664 (Tel: 2762584050)

📍
Updated Business Mailing Address November 16, 2015

Registered at 509 MED TECH PKWY, SUITE 100, JOHNSON CITY, TN 376042578 (Tel: 4233026882)

👤
Provider Name / Credentials Updated November 16, 2015

Recorded as MARY JOHNSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2015

Emergency Medicine (License #9401227 in NC)

🟢
Initial NPI Registration & Enumeration July 29, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801896022
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2005
Last Update: February 10, 2017
Sole Proprietor: No

Mailing Address

16000 Johnston Memorial Dr, 4th Floor

Abingdon, VA 242117664

Phone: 2762584050

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.