Individual provider Active NPI

Shamika Johnson, APRN

  • Family Nurse Practitioner
  • Kathleen, GA
National Provider Identifier
1962988048
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP277351 Issued in GA
Practice address
1118 Ga Highway 96
Kathleen, GA 31047-2111
Phone
(478) 975-6890
NPI assigned
Jul 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP277351 GA Primary

Addresses

Primary practice location

1118 Ga Highway 96
Kathleen, GA 31047-2111

Mailing address

1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 922-4281

Other practice location 1

233 N Houston Rd Ste 140A
Warner Robins, GA 31093-3023
Phone (478) 975-6720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20190130002958 GA Practitioner - Nurse Practitioner 2163769043 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP277351GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Hospitals Inc CurrentSince Sep 9, 2018 Accepting new patients
Houston Hospitals Inc CurrentSince Sep 9, 2018 Accepting new patients

Locations

1118 GA Highway 96
Kathleen, GA 31047
Phone (478) 922-4281

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

233 N Houston Rd
Ste 140A
Warner Robins, GA 31093
Phone (478) 923-2843

233 N Houston Rd
Warner Robins, GA 31093
Phone (478) 352-4306

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1962988048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933431",
            "telephone_number": "478-922-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 GA HIGHWAY 96",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310472111",
            "telephone_number": "478-975-6890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 N Houston Rd Ste 140A",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310933023",
            "country_code": "US",
            "telephone_number": "478-975-6720",
            "fax_number": "478-975-6766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHAMIKA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP277351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kathleen, GA

Sources for this page

Verify at the official NPI Registry.