Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Elary Violett Johnson, PA-C

Individual provider Physician Assistant · NPI 1508812470

MS. Elary Violett Johnson, PA-C is a Physician Assistant in Colorado Springs, Colorado. Qualified in 2002, 24 years ago. Practices with Lykos Medical LLC, a 19-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
24
Licensed in
CO
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6660 Delmonico Dr Ste D-455
Colorado Springs, CO 80919-1899
Phone: (719) 641-7999
Fax: (844) 511-6950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1628 (CO)

Record details

NPI number1508812470
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Lykos Medical Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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