Individual provider Active NPI

Suzette E. Johnson, M.D.

  • Obstetrics & Gynecology Physician
  • Gainesville, FL
National Provider Identifier
1538242664
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME141164 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone
(352) 265-0111
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA06329800 NJ
Obstetrics & Gynecology Physician 207V00000X 25MA06329800 NJ
Obstetrics & Gynecology Physician 207V00000X MD490330 PA
Obstetrics & Gynecology Physician 207V00000X ME141164 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-3003

Mailing address

PO Box 100294
Gainesville, FL 32610-0294
Phone (352) 273-7660

Other practice location 1

4807 Freemansburg Ave
Easton, PA 18045-5522
Phone (484) 591-7600

Other practice location 2

792 Chimney Rock Rd Ste A
Martinsville, NJ 08836-2271
Phone (908) 333-0614

Other practice location 3

812 Courtyard Dr
Hillsborough, NJ 08844-4258
Phone (908) 725-2510

Other identifiers 1

IdentifierTypeStateIssuer
104651200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20161130001358 CA Practitioner - Obstetrics/Gynecology 3072591023 Reassigns benefits to 1 organization
I20200214001387 FL Practitioner - Obstetrics/Gynecology 3072591023 Reassigns benefits to 1 organization
I20250822001549 PA Practitioner - Obstetrics/Gynecology 3072591023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers, Robert Woood Johnson Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD490330PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Aug 4, 2025 Accepting new patients
Lehigh Valley Physician Group Obstetrics & Gynecology Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 4, 2025 Accepting new patients
Permanente Medical Group Inc Obstetrics & Gynecology Current Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Dec 28, 2019 Accepting new patients
Permanente Medical Group Inc Obstetrics & Gynecology CurrentSince Oct 19, 2016 Accepting new patients
Florida Clinical Practice Association Inc Obstetrics & Gynecology CurrentSince Dec 28, 2019 Accepting new patients
Permanente Medical Group, Inc CurrentSince Oct 19, 2016 Accepting new patients
Valley Health Partners Community Health Center Obstetrics & Gynecology Current Accepting new patients
Lehigh Valley Physician Group Past Accepting new patients
Pulmonary Associates PC Past Accepting new patients
Regional Women's Health Group,LLC Obstetrics & Gynecology PastSince Oct 22, 2008 Accepting new patients

Locations (25 of 40)

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

7300 N Fresno St
Fresno, CA 93720
Phone (207) 448-4500

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
#100371
Gainesville, FL 32610
Phone (352) 265-8335

1600 SW Archer Rd
#100294
Gainesville, FL 32610
Phone (352) 273-7562

400 N 17th St
Ste 300
Allentown, PA 18104
Phone (610) 969-3258

1245 S Cedar Crest Blvd
Ste 201
Allentown, PA 18103
Phone (610) 402-4870

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

1611 Pond Rd
Ste 300
Allentown, PA 18104
Phone (610) 398-7700

2100 Mack Blvd
Fl 4
Allentown, PA 18103

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

120 Burrus Blvd
Ste 200
Brodheadsville, PA 18322
Phone (570) 420-6300

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

Interoperability endpoints

  • Direct secure messaging: sjohnson1614785@direct2.lvhn.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1538242664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100294",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100294",
            "telephone_number": "352-273-7660",
            "fax_number": "352-392-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-265-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4807 Freemansburg Ave",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180455522",
            "country_code": "US",
            "telephone_number": "484-591-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "792 Chimney Rock Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "NJ",
            "postal_code": "088362271",
            "country_code": "US",
            "telephone_number": "908-333-0614",
            "fax_number": "908-947-2708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "812 Courtyard Dr",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NJ",
            "postal_code": "088444258",
            "country_code": "US",
            "telephone_number": "908-725-2510",
            "fax_number": "908-725-2132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SUZETTE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06329800",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA06329800",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD490330",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME141164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104651200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.