Individual provider Active NPI

Shankana Johnson, FNP

  • Family Nurse Practitioner
  • Olanta, SC
National Provider Identifier
1326587387
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25512 Issued in SC
Practice address
211 S Jones Rd
Olanta, SC 29114-9705
Phone
(843) 396-9730
Fax
(843) 396-9735
NPI assigned
Feb 22, 2017
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 218052 SC
Family Nurse Practitioner 363LF0000X 25512 SC Primary

Addresses

Primary practice location

211 S Jones Rd
Olanta, SC 29114-9705

Mailing address

8906 Two Notch Rd
Columbia, SC 29223-6366
Phone (803) 254-3676

Other practice location 1

1901 W Palmetto St
Florence, SC 29501-3916
Phone (854) 214-7637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211116003163 SC Practitioner - Nurse Practitioner 3971992744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caresouth Carolina Inc.Group PAC ID 1052221314, shared by 12 NPIs, 66 clinicians
Genesis Healthcare, IncGroup PAC ID 4688869696, 33 clinicians

Practice addresses (Care Compare)

1268 S 4TH St
Hartsville, SC 29550-0703
Phone (843) 332-3422

211 S Jones Rd
Olanta, SC 29114-9705
Phone (843) 396-9730

3080 Hwy 15-401 E
MC Coll, SC 29570-6128
Phone (843) 523-5751

715 S Doctors Dr
Suites a B and D/E
Cheraw, SC 29520-7113
Phone (843) 537-0961

737 S Main St
Society Hill, SC 29593-8972
Phone (843) 378-4501

999 Cheraw St
Bennettsville, SC 29512-2420
Phone (843) 479-2341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
218052SCMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Healthcare, Inc. CurrentSince Jan 26, 2026 Accepting new patients
Genesis Healthcare, Inc. CurrentSince Jan 26, 2026 Accepting new patients
Genesis Healthcare, Inc. Past Accepting new patients
State of South Carolina Comptroller General Past Accepting new patients
State of South Carolina PastSince Dec 6, 2020 Accepting new patients

Locations

8906 Two Notch Rd
Columbia, SC 29223
Phone (803) 254-3676

115 Exchange St
Darlington, SC 29532
Phone (843) 393-9421

201 Cashua St
Darlington, SC 29532
Phone (843) 383-7452

1523 Heritage Ln
Florence, SC 29505
Phone (843) 673-0900

211 S Jones Rd
Olanta, SC 29114
Phone (843) 396-9723

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": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1326587387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236366",
            "telephone_number": "803-254-3676",
            "fax_number": "803-254-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S JONES RD",
            "city": "OLANTA",
            "state": "SC",
            "postal_code": "291149705",
            "telephone_number": "843-396-9730",
            "fax_number": "843-396-9735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 W Palmetto St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295013916",
            "country_code": "US",
            "telephone_number": "854-214-7637",
            "fax_number": "854-214-7638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHANKANA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "SC",
            "license": "218052",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olanta, SC

Sources for this page

Verify at the official NPI Registry.