Individual provider Active NPI

Sharae Johnson, M.D.

  • Obstetrics & Gynecology Physician
  • Beaumont, TX
National Provider Identifier
1164862512
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
R3174 Issued in TX
Practice address
755 N 11TH St Ste P4200
Beaumont, TX 77702-1521
Phone
(409) 899-1499
NPI assigned
Jun 30, 2013
Last updated
Sep 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R3174 TX Primary

Addresses

Primary practice location

755 N 11TH St Ste P4200
Beaumont, TX 77702-1521

Mailing address

755 N 11TH St Ste P4200
Beaumont, TX 77702-1521
Phone (409) 899-1499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251205002135 MS Practitioner - Obstetrics/Gynecology 3678897535 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Mississippi School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

256 E Fortification St
Jackson, MS 39202-2356

291 E Layfair Dr
Flowood, MS 39232-9527

777 Lawndres Hill Rd
Greenville, SC 29607-2101

777 Lowndes Hill Rd
BLDG 1
Greenville, SC 29607-2131

Merit-based Incentive Payment System (MIPS)

Final score
83.71 of 100Reported as group
Quality
65.25
Promoting interoperability
100
Improvement activities
40
Cost
71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R3174TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Mississippi, P.C. Obstetrics & Gynecology CurrentSince Oct 7, 2025 Accepting new patients
Bayou City Hospitalists, LLC Obstetrics & Gynecology CurrentSince Nov 17, 2019 Accepting new patients
Southeast Texas OB GYN Associates PA Obstetrics & Gynecology PastSince Sep 15, 2019 Accepting new patients
River Oaks Hospital LLC Past Accepting new patients

Locations

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

969 Lakeland Dr
Jackson, MS 39216
Phone (601) 200-4644

6500 North Fwy
Ste 110
Houston, TX 77076
Phone (713) 695-0002

Interoperability endpoints

  • Direct secure messaging: sjohnson5370960@direct.casso.us.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1164862512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST STE P4200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021521",
            "telephone_number": "409-899-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST STE P4200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021521",
            "telephone_number": "409-899-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHARAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-30",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "R3174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.