Shawna Marie Wilkerson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1585 3Rd St
Fort Johnson, LA 71459-5102

Phone

(337) 531-3011

NPI assigned

Jun 9, 2018

Last updated

Dec 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Shauna Spurling Former name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Physical Therapy Services of West Louisiana IncGroup PAC ID 0446388763, 92 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865
  Medicare reassignment NPD
• Physical Therapy Services of West Louisiana Inc

  • Physical Therapist
  • Leesville, LA
  • NPI 1417916685
  Care Compare group
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD
• Mosier & Mosier Family Physicians, LLP

  • Family Medicine Physician
  • Manhattan, KS
  • NPI 1336104595
  NPD (past)

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

{
    "created_epoch": "1528502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1518450048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 GOSS RD SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358090001",
            "telephone_number": "256-955-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 3RD ST",
            "city": "FORT JOHNSON",
            "state": "LA",
            "postal_code": "714595102",
            "telephone_number": "337-531-3011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Amherst Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665033046",
            "country_code": "US",
            "telephone_number": "785-539-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "617 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Clay Center",
            "state": "KS",
            "postal_code": "674321564",
            "country_code": "US",
            "telephone_number": "785-632-2144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 Decherd Blvd",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "TN",
            "postal_code": "373981164",
            "country_code": "US",
            "telephone_number": "931-313-1388",
            "fax_number": "931-313-1392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4100 Goss Rd SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358090001",
            "country_code": "US",
            "telephone_number": "256-955-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "SHAWNA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-09",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02107",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4136",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNA",
            "last_name": "SPURLING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Slocum, PA-C
• Briana Francina Krieger Thurmond, DO
• Zarana Bhaskarray Trivedi, DO
• Michelle Marie Turkovich, RDH
• Marguerite Wilcox, LCSW
• Kacey Yip, DPT
• Annika Elaine Zimmerman, AU.D.

• Physician Assistant in Fort Johnson, LA
• Providers in Fort Johnson, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.