Active NPI
Latoya Monique Johnson, PA-C, DHSC
- Medical Physician Assistant
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9117648
- Practice address
- 10115 Forest Hill Blvd Ste 401
Wellington, FL 33414-3103 - Phone
- (561) 472-5810
- NPI assigned
- Nov 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9117648 | FL | |
| Medical Physician Assistant | 363AM0700X | 3562 | GA | |
| Medical Physician Assistant | 363AM0700X | PA9117648 | FL | Primary |
Addresses
Primary practice location
10115 Forest Hill Blvd Ste 401
Wellington, FL 33414-3103
Mailing address
PO Box 947387
Atlanta, GA 30394-7387
Phone (561) 472-5810
Other practice location 1
6910 S Dixie Hwy Ste 102
West Palm Beach, FL 33405-4624
Phone (561) 983-6689
Other practice location 2
10301 Hagen Ranch Rd Ste B270
Boynton Beach, FL 33437-3735
Phone (561) 853-1001
Other names 1
- Latoya Monique Haynes
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Medical College of Georgia School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1397 Medical Park BVLD
Suite 140
Wellington, FL 33414-3187
Phone (561) 472-5810
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9117648 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Pain Relief Group PLLC | Physician Assistant | Current | Accepting new patients |
| Carolinas Pain Institute, PA | Past | Accepting new patients | |
| Carolinas Pain Institute, PA | Past | Accepting new patients |
Locations
10301 Hagen Ranch Rd
Ste B270
Boynton Beach, FL 33437
Phone (561) 853-1001
3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493
1397 Medical Park Blvd
Ste 140
Wellington, FL 33414
Phone (561) 472-5810
1397 Medical Park Blvd
Ste 460
Wellington, FL 33414
Phone (561) 791-4434
10115 Forest Hill Blvd
Ste 401
Wellington, FL 33414
Phone (561) 472-5810
6910 S Dixie Hwy
Ste 102
West Palm Beach, FL 33405
Phone (561) 983-6689
Organizations & group practices 3
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Tampa, FL
- NPI 1376994608
Physician Assistant
-
- Pain Medicine Physician
- Winston Salem, NC
- NPI 1376598268
-
- Interventional Pain Medicine Physician
- Asheboro, NC
- NPI 1942547120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1740264175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 947387",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303947387",
"telephone_number": "561-472-5810",
"fax_number": "561-472-5811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10115 FOREST HILL BLVD STE 401",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334143103",
"telephone_number": "561-472-5810"
}
],
"practiceLocations": [
{
"address_1": "6910 S Dixie Hwy Ste 102",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334054624",
"country_code": "US",
"telephone_number": "561-983-6689",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10301 Hagen Ranch Rd Ste B270",
"address_purpose": "LOCATION",
"city": "Boynton Beach",
"state": "FL",
"postal_code": "334373735",
"country_code": "US",
"telephone_number": "561-853-1001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "LATOYA",
"middle_name": "MONIQUE",
"name_prefix": "Dr.",
"credential": "PA-C, DHSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9117648",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "3562",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9117648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LATOYA",
"last_name": "HAYNES",
"middle_name": "MONIQUE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.