Individual provider Active NPI

Teah Nakesha Shante' Doles-Johnson, AGNP

  • Psychiatric/Mental Health Nurse Practitioner
  • High Point, NC
National Provider Identifier
1982062758
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5008340 Issued in NC
Practice address
320 Boulevard St
High Point, NC 27262-3802
Phone
(336) 781-2189
NPI assigned
Feb 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5008340 NC Primary
Adult Health Nurse Practitioner 363LA2200X 5008340 NC
Nurse Practitioner 363L00000X 5008340 NC

Addresses

Primary practice location

320 Boulevard St
High Point, NC 27262-3802

Mailing address

320 Boulevard St
High Point, NC 27262-3802
Phone (336) 781-2189

Other practice location 1

3205 Randall Pkwy Ste 105
Wilmington, NC 28403-2565
Phone (910) 742-9243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160426000651 NC Practitioner - Nurse Practitioner 6507165503 Reassigns benefits to 3 organizations
I20241212004393 TN Practitioner - Nurse Practitioner 6507165503

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

601 N Elm St
High Point, NC 27262-4331
Phone (336) 716-2734

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5008340NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Behavioral Medicine PC Psychiatry CurrentSince May 12, 2023 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Mar 14, 2016 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Wake Forest Health Network LLC CurrentSince Mar 14, 2016 Accepting new patients
Lifesource of North Carolina Psychiatry CurrentSince Nov 1, 2022 Accepting new patients
Wake Forest University Health Sciences CurrentSince Jan 12, 2025 Accepting new patients
Lifesource of North Carolina Psychiatry CurrentSince Nov 1, 2022 Accepting new patients

Locations

445 Dolley Madison Rd
Ste 100
Greensboro, NC 27410
Phone (336) 649-9000

4515 Premier Dr
Ste 201
High Point, NC 27265
Phone (336) 802-2610

1814 Westchester Dr
Ste 301
High Point, NC 27262
Phone (336) 802-2025

320 Boulevard St
High Point, NC 27262
Phone (336) 781-2189

601 N Elm St
High Point, NC 27262
Phone (336) 878-6419

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: tdolesjohnson3001534@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1982062758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BOULEVARD ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623802",
            "telephone_number": "336-781-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BOULEVARD ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623802",
            "telephone_number": "336-781-2189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3205 Randall Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284032565",
            "country_code": "US",
            "telephone_number": "910-742-9243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLES-JOHNSON",
        "first_name": "TEAH",
        "middle_name": "NAKESHA SHANTE'",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5008340",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5008340",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.