Active NPI
Shankana Johnson, FNP
- Family Nurse Practitioner
- Olanta, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 25512
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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.
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
| License | State | Type | Specialty |
|---|---|---|---|
| 218052 | SC | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Healthcare, Inc. | Current | Accepting new patients | |
| Genesis Healthcare, Inc. | Current | Accepting new patients | |
| Genesis Healthcare, Inc. | Past | Accepting new patients | |
| State of South Carolina Comptroller General | Past | Accepting new patients | |
| State of South Carolina | Past | 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.
-
dba Pee Dee Health Care
- Federally Qualified Health Center (FQHC)
- Darlington, SC
- NPI 1437484862
-
dba Olanta Family Care
- Federally Qualified Health Center (FQHC)
- Olanta, SC
- NPI 1255641346
-
dba Mobile Health Clinic #1
- Federally Qualified Health Center (FQHC)
- Walterboro, SC
- NPI 1881440758
-
dba Genesis Healthcare Florence
- Federally Qualified Health Center (FQHC)
- Florence, SC
- NPI 1255305280
-
dba Veteran Village
- Skilled Nursing Facility
- Florence, SC
- NPI 1336994250
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.