Antallia Shauntell Johnson, CRNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

1-154179 Issued in AL

Practice address

2505 US Hwy 431 Women's Center Suite a
Boaz, AL 35957

Phone

(256) 840-4530

Fax

(256) 840-4537

NPI assigned

Feb 14, 2019

Last updated

Jul 30, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BBH Womens Care LLCGroup PAC ID 0244540557, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: antallia.johnson.1@32023.direct.athenahealth.com
• Direct secure messaging: lia.johnson@afteroursobgyn.gwaydirect.com

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.

• BBH Women's Care, LLC

  • Obstetrics & Gynecology Physician
  • Birmingham, AL
  • NPI 1659086791
  Medicare reassignment Care Compare group NPD
• Summers W. Taylor, III, MD, PC

  • Obstetrics Physician
  • Boaz, AL
  • NPI 1639455280
  Medicare reassignment
• Baptist Health Centers, LLC

  dba Baptist Health Medical Group

  • Health Service Clinic/Center
  • Winfield, AL
  • NPI 1265496236
  NPD (past)

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1710443767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 US HWY 431 WOMEN'S CENTER SUITE A",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "35957",
            "telephone_number": "256-840-4530",
            "fax_number": "256-840-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 US HWY 431 WOMEN'S CENTER SUITE A",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "35957",
            "telephone_number": "256-840-4530",
            "fax_number": "256-840-4537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2006 Brookwood Medical Ctr Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352096885",
            "country_code": "US",
            "telephone_number": "205-397-1286",
            "fax_number": "205-397-1340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4360 Main St",
            "address_purpose": "LOCATION",
            "city": "Pinson",
            "state": "AL",
            "postal_code": "351263290",
            "country_code": "US",
            "telephone_number": "205-608-9013",
            "fax_number": "205-264-2632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "48 Medical Park Dr E Ste 355",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352353470",
            "country_code": "US",
            "telephone_number": "205-877-2121",
            "fax_number": "205-877-2569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANTALLIA",
        "middle_name": "SHAUNTELL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AL",
            "license": "1-154179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin T. Indihar, PHARM.D.
• J Randolph Hawkins DMD PA
• Cody Jarmon, CRNP
• Benjamin L Jenkins, P.T.
• Andreana Megan Johnson, MD
• Cary Dale Johnson, RPH
• Joni Kelley, CRNP
• Joseph C. Kendra, M.D.
• Rhonda Kilpatrick, PT
• Chad Knight, LCSW

• Obstetrics & Gynecology Nurse Practitioner in Boaz, AL
• Providers in Boaz, AL by specialty
• Obstetrics & Gynecology Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.