Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DIERA SHINAY JOHNSON
NPI 1205701893
Nurse Practitioner - Family in Valdosta, GA

Q: What is Diera Johnson's NPI number?

The NPI number for Diera Johnson is 1205701893. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Q: What is Diera Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Diera Johnson was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.

Active since October 06, 2025PECOS EnrolledAccepts Medicare Assignment

3200 N ASHLEY ST STE C, VALDOSTA, GA 31602(229) 231-4691(919) 867-3493 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2025, Oct 6, 2025 (2 updates tracked since 2025).

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About Diera Shinay Johnson NPPES

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

DIERA SHINAY JOHNSON (NPI 1205701893) is an individual family provider in Valdosta, Georgia, licensed in Georgia (APRN-NP305541) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1205701893

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDIERA SHINAY JOHNSON

Location Address3200 N ASHLEY ST STE CValdosta, GA 31602-5911

Mailing Address3200 N Ashley St Ste CValdosta, GA 31602-5911 · (229) 231-4691 · Fax (919) 867-3493

Phone(229) 231-4691

Fax(919) 867-3493

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 6, 2025

Last NPPES UpdateJune 26, 20262 updates tracked since enumeration

NPPES CertifiedJune 26, 2026

✔ NPI 1205701893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · APRN-NP305541

3200 N ASHLEY ST STE C, Valdosta, GA 31602

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Diera Shinay Johnson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436649084

PECOS Enrollment IDI20251103003772

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

KACIE PARRISH JOHNSON N.P.

Nurse Practitioner

3200 N ASHLEY ST STE C
VALDOSTA, GA 31602

Lowndes County (229) 671-9100

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 Diera Johnson's NPI number?

The NPI number for Diera Johnson is 1205701893. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Where is Diera Johnson located?

Diera Johnson practices at 3200 N Ashley St Ste C, Valdosta, GA 31602. The listed phone number is (229) 231-4691.

What is Diera Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Diera Johnson enrolled in Medicare?

Yes. Diera Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Diera Johnson was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.