Individual provider Active NPI

Johannah Elizabeth Cummines

  • Physician Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1184427007
Registry record updated Oct 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9120193 Issued in FL
Practice address
2320 NE 9TH St Ste 300
Ft Lauderdale, FL 33304-3590
Phone
(954) 563-4500
NPI assigned
Mar 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9120193 FL Primary

Addresses

Primary practice location

2320 NE 9TH St Ste 300
Ft Lauderdale, FL 33304-3590

Mailing address

2320 NE 9TH St Ste 300
Fort Lauderdale, FL 33304-3590
Phone (954) 563-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251115000245 FL Practitioner - Physician Assistant 3870084056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanguard Plastic Surgery PLLCGroup PAC ID 5193030252, 7 clinicians

Practice addresses (Care Compare)

2320 NE 9TH St
Suite 300
Fort Lauderdale, FL 33304-3590
Phone (954) 536-4500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9120193FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vanguard Plastic Surgery LLC CurrentSince Oct 13, 2025 Accepting new patients
Michael C. Cheung, M.D., P.a. PastSince Sep 3, 2025 Accepting new patients

Locations

2320 NE 9th St
Ste 300
Ft Lauderdale, FL 33304
Phone (954) 536-4500

Interoperability endpoints

  • Direct secure messaging: johannah.cummines@3844.securemail.prognocis.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759622400000",
    "number": "1184427007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 NE 9TH ST STE 300",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043590",
            "telephone_number": "954-563-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 NE 9TH ST STE 300",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043590",
            "telephone_number": "954-563-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINES",
        "first_name": "JOHANNAH",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9120193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.