Individual provider Active NPI

Michele Rene Johnson, MD

  • Obstetrics & Gynecology Physician
  • Celebration, FL
National Provider Identifier
1629232301
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME124560 Issued in FL
Practice address
410 Celebration PL Ste 208
Celebration, FL 34747-5434
Phone
(074) 566-2229
Fax
(407) 566-2499
NPI assigned
Jul 11, 2008
Last updated
Feb 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME124560 FL Primary

Addresses

Primary practice location

410 Celebration PL Ste 208
Celebration, FL 34747-5434

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other practice location 1

200 N Lakemont Ave
Winter Park, FL 32792-3273
Phone (407) 975-0406

Other practice location 2

400 Celebration Pl
Celebration, FL 34747-4970
Phone (407) 975-0406

Other practice location 3

601 E Altamonte Dr
Altamonte Springs, FL 32701-4802
Phone (407) 975-0406

Other practice location 4

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 975-0406

Other practice location 5

2209 North Boulevard West
Ste C
Davenport, FL 33837-8903
Phone (877) 800-0239

Other practice location 6

1997 Daniels Road
Winter Garden, FL 34787-4599
Phone (877) 800-0239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20151019000878 FL Practitioner - Obstetrics/Gynecology 0648420414 Reassigns benefits to 3 organizations
I20170906001068 FL Practitioner - Hospitalist 0648420414 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

2209 N Blvd W
Suite C
Davenport, FL 33837-8903
Phone (407) 566-2229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME124560FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Care Florida LLC Obstetrics & Gynecology CurrentSince Sep 1, 2017 Accepting new patients
DHP of Manatee PA Obstetrics & Gynecology CurrentSince Nov 1, 2023 Accepting new patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Sep 1, 2017 Accepting new patients
Florida Hospital Medical Group Inc Obstetrics & Gynecology CurrentSince Apr 24, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jun 1, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Apr 24, 2023 Accepting new patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Aug 1, 2024 Accepting new patients
Orlando Health Medical Group Inc Obstetrics & Gynecology CurrentSince Jun 1, 2023 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Jul 31, 2024 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Jul 31, 2024 Accepting new patients
Kennewick Public Hospital District Past Accepting new patients
Womencare PA Past Accepting new patients

Locations (25 of 29)

601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

2209 North Blvd W
Ste C
Davenport, FL 33837
Phone (407) 566-2229

410 Lionel Way
Davenport, FL 33837
Phone (863) 419-2420

400 Celebration Pl
Kissimmee, FL 34747
Phone (407) 303-4000

410 Celebration Pl
Ste 208
Kissimmee, FL 34747
Phone (407) 566-2229

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

3438 Lawton Rd
Ste 2B
Orlando, FL 32803
Phone (407) 868-8451

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: michele.johnson.1@2183.direct.athenahealth.com
  • Direct secure messaging: mjohnson127956@adventhealth.direct-ci.com

Organizations & group practices 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1629232301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PL STE 208",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475434",
            "telephone_number": "074-566-2229",
            "fax_number": "407-566-2499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Lakemont Ave",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327923273",
            "country_code": "US",
            "telephone_number": "407-975-0406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Celebration Pl",
            "address_purpose": "LOCATION",
            "city": "Celebration",
            "state": "FL",
            "postal_code": "347474970",
            "country_code": "US",
            "telephone_number": "407-975-0406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Altamonte Dr",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327014802",
            "country_code": "US",
            "telephone_number": "407-975-0406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Rollins St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031248",
            "country_code": "US",
            "telephone_number": "407-975-0406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2209 North Boulevard West",
            "address_2": "Ste C",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338378903",
            "country_code": "US",
            "telephone_number": "877-800-0239",
            "fax_number": "407-566-2499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1997 Daniels Road",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347874599",
            "country_code": "US",
            "telephone_number": "877-800-0239",
            "fax_number": "407-566-2499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHELE",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME124560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.