OrganizationActive
Marvin W. Johnson M.D.
NPI 1265979041 · Family Medicine Physician · Lake Butler, FL
Provider details
- NPI number
- 1265979041
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marvin Johnson, Medical Doctor(386) 496-2406
- License
- ME0011466 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
850 E Main St
Lake Butler, FL 32054-1353
Phone: (386) 496-2406
Fax: (386) 496-3362
Street-level locationGet directions
Mailing address
Po Box 478
Lake Butler, FL 32054-0478
Registry dates
- Enumerated
- 2017-01-31
- Last updated
- 2017-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.