Elary Violett Johnson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1628 Issued in CO

Practice address

6660 Delmonico Dr
Suite D-455
Colorado Springs, CO 80919-1899

Phone

(719) 641-7999

Fax

(844) 511-6950

NPI assigned

May 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Elary K Violett Former name

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lykos Medical LLCGroup PAC ID 0941558035, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Colorado Springs, CO, CCN 067449
• Optimal Home Care Loveland Home health agency, Loveland, CO, CCN 067546

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: envisionphysicianservicesllc.elaryjohnson@135865.advancedmd-direct.com
• Direct secure messaging: elary.johnson.1@26269.direct.athenahealth.com

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

• Lykos Medical LLC

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1215423124
  Medicare reassignment Care Compare group
• MWS Wound Solutions LLC

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1184482952
  NPD

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

• Eh Home Health of Colorado LLC

  • Home Health Agency
  • Colorado Springs, CO
  • NPI 1346481710
  Care Compare affiliation
• GSD Initiative LLC

  • Home Health Agency
  • Loveland, CO
  • NPI 1912384413
  Care Compare affiliation

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1508812470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 N UNION BLVD",
            "address_2": "STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203800",
            "telephone_number": "719-434-8810",
            "fax_number": "519-805-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 DELMONICO DR",
            "address_2": "SUITE D-455",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191899",
            "telephone_number": "719-641-7999",
            "fax_number": "844-511-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELARY",
        "middle_name": "VIOLETT",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70929319",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELARY",
            "last_name": "VIOLETT",
            "middle_name": "K",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donna R. Johnson, PH.D.
• Douglas Scott Johnson, D.C.
• Drew Carter Johnson, DO
• Effie Leigh Johnson
• Eileen Mary Johnson, NP
• Eliza Johnson
• Elizabeth A Johnson, PHD
• Erika Johnson, PSYD
• Erin Johnson, M.A., BCBA
• Gene A Johnson, O.D.

• Physician Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.