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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARVIN WADE JOHNSON SR. M.D.
NPI 1346244092
Family Medicine in Lake Butler, FL

Active since June 10, 2005
850 E MAIN ST, LOT 1, LAKE BUTLER, FL 32054(386) 496-2406(386) 496-3362 Get Directions Write a Review

NPPES record last updated: August 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Marvin Wade Johnson Sr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARVIN WADE JOHNSON SR. M.D. (NPI 1346244092) is an individual family medicine provider in Lake Butler, Florida, licensed in Florida (ME0011466) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1346244092
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARVIN WADE JOHNSON SR.Credential: M.D.
Location Address850 E MAIN ST, LOT 1Lake Butler, FL 32054-1348
Mailing AddressPo Box 478Lake Butler, FL 32054-0478 · (386) 496-2406 · Fax (386) 496-3362
Phone(386) 496-2406
Fax(386) 496-3362
Sole ProprietorYes
Enumeration DateJune 10, 2005
Last NPPES UpdateAugust 16, 2026
✔ NPI 1346244092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME0011466
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
850 E MAIN ST, Lake Butler, FL 32054
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Other Identifiers 2

Medicaid065935500FL
Other53331FL · Bcbs

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDLINK MANAGEMENT SERVICES INC
General Acute Care Hospital (Critical Access)
850 E MAIN ST
LAKE BUTLER, FL 32054
Union County (386) 496-2323
PATRICK CLAUDE FRISBEE PA
Physician Assistant
850 E MAIN ST
LAKE BUTLER, FL 32054
Union County (386) 496-2323
MARVIN W. JOHNSON M.D.
Family Medicine
850 E MAIN ST
LAKE BUTLER, FL 32054
Union County (386) 496-2406
MRS. DEBBIE O'REILLY PYLES OTR
Occupational Therapist (Physical Rehabilitation)
850 E MAIN ST
LAKE BUTLER, FL 32054
Union County (386) 496-2843
CAROLYN L DELOACHE MSN ARNP
Nurse Practitioner (Family)
850 E MAIN ST
LAKE BUTLER, FL 32054
Union County (386) 496-2323
BAILEY CLARK COTA/L
Occupational Therapy Assistant
850 E MAIN ST
LAKE BUTLER, FL 32054
Union County (386) 496-2323
MRS. KELLY MELINDA CHEWNING ARNP
Nurse Practitioner (Primary Care)
850 E MAIN ST
LAKE BUTLER, FL 32054
Union County (386) 496-1922

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marvin Johnson's NPI number?

The NPI number for Marvin Johnson is 1346244092. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Marvin Johnson located?

Marvin Johnson practices at 850 E Main St Lot 1, Lake Butler, FL 32054. The listed phone number is (386) 496-2406.

What is Marvin Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Marvin Johnson was last updated on August 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.