NPIMap

Individual provider Active NPI

Michael Shawn Johnson, DO

  • Family Medicine Physician
  • Beckley, WV
National Provider Identifier
1902895584
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1404 Issued in WV
Practice address
1710 Harper Rd
Beckley, WV 25801-3357
Phone
(304) 256-4100
NPI assigned
Oct 17, 2005
Last updated
May 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1404 WV
Family Medicine Physician 207Q00000X 1404 WV Primary

Addresses

Primary practice location

1710 Harper Rd
Beckley, WV 25801-3357

Mailing address

1710 Harper Rd
Beckley, WV 25801-3357
Phone (304) 256-4100

Other identifiers 2

IdentifierTypeStateIssuer
0040103000MedicaidWV
000025499OtherWVBC

Other names 1

  • Dr. Michael Shawn Johnson Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061229000160 WV Practitioner - Family PracticePractitioner - Emergency Medicine 2668426586 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Physicians Care IncGroup PAC ID 6103814017, 119 clinicians

Practice addresses (Care Compare)

9016 Seneca TRL S
Ronceverte, WV 24970-8375
Phone (681) 318-3477

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richbend Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 27, 2025 Accepting new patients
Charleston Area Medical Center, Inc. Current Accepting new patients
United Physicians Care Inc Emergency Medicine CurrentSince Oct 8, 2024 Accepting new patients
Beckley Emergency Physicians LLC Emergency Medicine CurrentSince Jan 23, 2022 Accepting new patients
Healthcare 360 PLLC Family Medicine CurrentSince Jan 21, 2020 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jan 19, 2021 Accepting new patients
Pocahontas Memorial Hospital CurrentSince Dec 16, 2021 Accepting new patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince Apr 16, 2013 Accepting new patients
Pocahontas Memorial Hospital Current Accepting new patients
Oak Hill Emergency Physicians, LLC Emergency Medicine CurrentSince Jan 1, 2012 Accepting new patients
United Physicians Care Inc Family Medicine CurrentSince Oct 8, 2024 Accepting new patients
Charleston Area Medical Center, Inc. Emergency Medicine CurrentSince Jan 19, 2021 Accepting new patients
BJSM Med Inc Emergency Medicine Past Accepting new patients
West Virginia Em-I Medical Services Emergency Medicine Past Accepting new patients
Greenbrier Valley Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

306 Stanaford Rd
Beckley, WV 25801
Phone (304) 255-3373

150 Duncan Rd
Buckeye, WV 24924
Phone (304) 799-7400

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

626 Elk St
Gassaway, WV 26624
Phone (304) 364-2401

208 Dawkins Dr
Lewisburg, WV 24901
Phone (304) 992-2891

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

430 Main St W
Oak Hill, WV 25901
Phone (276) 325-0678

1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870

9016 Seneca Trl S
Ronceverte, WV 24970
Phone (304) 647-4968

2373 W Main St
Ste 102
Salem, WV 26426
Phone (304) 782-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21128/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mjohn164@yourcarecommunity.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1902895584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013357",
            "telephone_number": "304-256-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013357",
            "telephone_number": "304-256-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "1404",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0040103000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "000025499",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "JOHNSON",
            "middle_name": "SHAWN",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.