Shameka Logan Johnson

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2022009320 Issued in NC

Practice address

2305 Wellington Dr SW
Wilson, NC 27893-4400

Phone

(252) 306-7474

NPI assigned

Dec 16, 2022

Last updated

Jul 18, 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

Medicare fee-for-service enrollment

Enrolled in NC

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Behavioral Health ServicesGroup PAC ID 5395988133, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Vision Behavioral Health Services

  • Community/Behavioral Health Agency
  • Louisburg, NC
  • NPI 1588974158
  Medicare reassignment Care Compare group NPD
• Journeys in Mental Health & Wellness, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wendell, NC
  • NPI 1033772736
  Medicare reassignment NPD
• Unc Physicians Network LLC

  dba UNC Family Medicine at Pittsboro

  • Family Medicine Physician
  • Pittsboro, NC
  • NPI 1750704367
  Medicare reassignment NPD
• Heart & Mind Behavioral Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Smithfield, NC
  • NPI 1861250342
  NPD Authorized official
• Unc Physicians Network LLC

  • General Practice Physician
  • Morrisville, NC
  • NPI 1558786830
  NPD

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1972215382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 WELLINGTON DR SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934400",
            "telephone_number": "252-306-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 WELLINGTON DR SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934400",
            "telephone_number": "252-306-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHAMEKA",
        "middle_name": "LOGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5017490",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "2022009320",
            "primary": true
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "VA",
            "license": "0024185817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Wesley Johnson, DC
• Brittany Johnson
• Karen Yvette Johnson, LCAS-A
• Kay Finch Johnson, R.D., LDN
• Riley Johnson, MA, LCMHCA
• Jonathon G. Dewald, MD PA
• Jones-Edwards, Inc.
• Lorraine Denise Jones-Whitfield
• Gabrielle Denise Jones, M.ED., LCMHCA
• Jeffrey Emerson Jones, MD

• Psychiatric/Mental Health Nurse Practitioner in Wilson, NC
• Providers in Wilson, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.