Active NPI
Lela C Johnson, M.D.
- Internal Medicine Physician
- The Villages, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME164720
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLCCenterwell Senior Primary Care Vitality Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME164720 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Villages Health System LLC | Current | Accepting new patients | |
| East Kentucky Medical Group PSC | Current | Accepting new patients | |
| Centerwell Senior Primary Care Vitality Inc | Internal Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care Vitality Inc | Internal Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care Vitality Inc | Internal Medicine | Current | 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
- lela.johnson.1@18324.direct.athenahealth.com
- 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.
-
- Internal Medicine Physician
- The Villages, FL
- NPI 1730076621
FL, Internal Medicine
-
- Internal Medicine Physician
- The Villages, FL
- NPI 1457223406
Internal Medicine
-
- Internal Medicine Physician
- The Villages, FL
- NPI 1972475903
Internal Medicine
-
- Family Nurse Practitioner
- Pikeville, KY
- NPI 1417123647
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.