DR. MICHAEL ANTHONY LEANDER JOHNSON M.D. NPI 1205104411

NPI Information

  • NPI: 1205104411
  • Provider Name: DR. MICHAEL ANTHONY LEANDER JOHNSON, M.D.
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11215 METRO PKWY STE 1
    FORT MYERS, FL
    ZIP 33966
  • Phone: (239) 208-2212

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NPI Details

DR. Michael Anthony Leander Johnson, M.D. is a neurology psychiatry neurology in Fort Myers, FL with 22 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Michael Anthony Leander Johnson, M.D. NPI is 1205104411. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2003

The provider's business location address is:

11215 METRO PKWY STE 1
FORT MYERS, FL
ZIP 33966-206
Phone: (239) 208-2212

The NPI 1205104411 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or (HCPCS:G2212)

The enumeration date for this NPI number is 12/2/2011 and was last updated on 10/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyW1051TEXASNo
22084N0400XPsychiatry & NeurologyNeurologyME177505FLORIDAYes
32084N0400XPsychiatry & NeurologyNeurologyDR.0067293COLORADONo
42084E0001XPsychiatry & NeurologyEpilepsyDR.0067293COLORADONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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