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MRS. SHANNON JOHNSON YOUNGER PA-C
NPI 1164961629
Physician Assistant - Medical in Columbus, MS

Active since February 16, 2017
724 LEIGH DR, COLUMBUS, MS 39705(662) 328-3375(662) 328-3395 Get Directions Write a Review

NPPES record last updated: April 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 24, 2020, Feb 12, 2019, Feb 16, 2017 (3 updates tracked since 2017).

About Mrs. Shannon Johnson Younger Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHANNON JOHNSON YOUNGER PA-C (NPI 1164961629) is an individual medical provider in Columbus, Mississippi, licensed in Florida (PA9110198) and active in the NPI registry since February 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164961629
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. SHANNON JOHNSON YOUNGERCredential: PA-C
Location Address724 LEIGH DRColumbus, MS 39705-3098
Mailing Address724 Leigh DrColumbus, MS 39705-3098 · (662) 328-3375 · Fax (662) 328-3395
Phone(662) 328-3375
Fax(662) 328-3395
Sole ProprietorYes
Enumeration DateFebruary 16, 2017
Last NPPES UpdateApril 24, 20203 updates tracked since enumeration
NPPES CertifiedApril 24, 2020
✔ NPI 1164961629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9110198
724 LEIGH DR, Columbus, MS 39705
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Other Names 1

Former Name (1)Mrs. Shannon Lupe Johnson Pa-c

Secondary Practice Locations 2

Location 1321 University DrStarkville, MS 39759-2956 · Phone (662) 323-5377 · Fax (662) 323-5377
Location 2724 Leigh DrColumbus, MS 39705 · Phone (662) 328-3375 · Fax (662) 328-3395

Other Identifiers 2

OtherPA00395MS · Mississippi Pa Certificate
OtherPA9110198FL · 59-2455010

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. STEPHANIE MICHELLE BEASLEY FNP
Nurse Practitioner (Family)
724 LEIGH DR
COLUMBUS, MS 39705
Lowndes County (662) 328-3375
KALA WHITE WILSON CFNP
Nurse Practitioner (Family)
724 LEIGH DR
COLUMBUS, MS 39705
Lowndes County (662) 328-3375
MASON OLIVIA SIDDIQUI PA-C
Physician Assistant
724 LEIGH DR
COLUMBUS, MS 39705
Lowndes County (662) 328-3375
DR. BETHANY HAIRSTON M.D.
Dermatology
724 LEIGH DR
COLUMBUS, MS 39705
Lowndes County (662) 328-3375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Younger's NPI number?

The NPI number for Shannon Younger is 1164961629. It was assigned to this individual provider in the NPPES registry on February 16, 2017. The provider is also known as Mrs. Shannon Lupe Johnson Pa-C.

Where is Shannon Younger located?

Shannon Younger practices at 724 Leigh Dr, Columbus, MS 39705. The listed phone number is (662) 328-3375.

What is Shannon Younger's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Shannon Younger was last updated on April 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.