Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Marshall Johnson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699476424

Dr. Marshall Johnson, DO is a Psychiatry in Orange Park, Florida. Qualified in 2023, 3 years ago. Practices with Wekiva Springs Center LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone: (904) 639-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 22218 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (FL)

Record details

NPI number1699476424
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 17, 2023
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing address240 S Crystal Dr, Sanford, FL 32773-4816

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Wekiva Springs Center Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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