Individual provider Active NPI

Latoya Monique Johnson, PA-C, DHSC

  • Medical Physician Assistant
  • Wellington, FL
National Provider Identifier
1740264175
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9117648 Issued in FL
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

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20260101000012 FL Practitioner - Physician Assistant 3971655366 Reassigns benefits to 1 organization

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
Florida Pain Relief Group PLLCGroup PAC ID 4688960271, 80 clinicians

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

LicenseStateTypeSpecialty
PA9117648FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain Relief Group PLLC Physician Assistant CurrentSince Jan 19, 2026 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.

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

Verify at the official NPI Registry.