Individual provider Active NPI

Lela C Johnson, M.D.

  • Internal Medicine Physician
  • The Villages, FL
National Provider Identifier
1972505923
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME164720 Issued in FL
Practice address
8877 SE 165TH Mulberry LN
The Villages, FL 32162-5887
Phone
(844) 884-9355
Fax
(352) 674-8950
NPI assigned
Jun 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01079489A IN
Internal Medicine Physician 207R00000X ME164720 FL Primary

Addresses

Primary practice location

8877 SE 165TH Mulberry LN
The Villages, FL 32162-5887

Mailing address

1020 Lake Sumter LNDG
The Villages, FL 32162-2699
Phone (352) 674-8905

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240108003207 FL Practitioner - Internal Medicine 9032109657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Villages Health System LLC 146 clinicians
Centerwell Senior Primary Care Vitality Inc 144 clinicians

Practice addresses (Care Compare)

8877 SE 165TH Mulberry LN
The Villages, FL 32162-5887
Phone (352) 674-1750

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME164720FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Villages Health System LLC CurrentSince Nov 27, 2023 Accepting new patients
East Kentucky Medical Group PSC Current Accepting new patients
Centerwell Senior Primary Care Vitality Inc Internal Medicine CurrentSince Nov 7, 2025 Accepting new patients
Centerwell Senior Primary Care Vitality Inc Internal Medicine Current Accepting new patients
Centerwell Senior Primary Care Vitality Inc Internal Medicine CurrentSince Nov 7, 2025 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1020 Lake Sumter Lndg
The Villages, FL 32162

280 Farner Pl
The Villages, FL 32163
Phone (352) 674-1710

8877 SE 165th Mulberry Ln
The Villages, FL 32162
Phone (352) 674-1750

1400 N US Highway 441
Ste 930
The Villages, FL 32159
Phone (352) 750-2108

50 Weddington Branch Rd
Ste B
Pikeville, KY 41501
Phone (606) 432-2172

Interoperability endpoints

  • Direct secure messaging: lela.johnson.1@18324.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18324/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1972505923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LAKE SUMTER LNDG",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622699",
            "telephone_number": "352-674-8905",
            "fax_number": "352-674-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8877 SE 165TH MULBERRY LN",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625887",
            "telephone_number": "844-884-9355",
            "fax_number": "352-674-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LELA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-02",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01079489A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME164720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.