SHELBY JOHNSON PA-C
NPI 1225445836
Physician Assistant in Southern Pines, NC

Active since July 15, 2014PECOS EnrolledAccepts Medicare Assignment
78.91/100
CMS Quality Rating
200 PAVILION WAY, SOUTHERN PINES, NC 28387(910) 246-4140 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 16, 2026, Feb 16, 2022, Nov 12, 2021 and 2 more (5 updates tracked since 2018).

About Shelby Johnson Pa-c NPPES

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

SHELBY JOHNSON PA-C (NPI 1225445836) is an individual physician assistant in Southern Pines, North Carolina, licensed in North Carolina (0010-13273) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Firsthealth Moore Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225445836
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHELBY JOHNSONCredential: PA-C
Location Address200 PAVILION WAYSouthern Pines, NC 28387-4561
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 15, 2014
Last NPPES UpdateJanuary 16, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
NPI 1225445836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NC · 0010-13273 Licensed in CA · 55573
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 0004000 (CO)
200 PAVILION WAY, Southern Pines, NC 28387

Secondary Practice Locations 2

Location 113123 E 16th AveAurora, CO 80045-7106 · Phone (720) 777-1234
Location 2555 Carthage StSanford, NC 27330-4104 · Phone (919) 774-6518

Accepted Insurance

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

Shelby Johnson Pa-c 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 ID3577885284
PECOS Enrollment IDI20231214002288
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
72 services72 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services16 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28387 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.01
Promoting Interoperability98
Improvement Activities40
Cost57.38

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
200 PAVILION WAY
SOUTHERN PINES, NC 28387
Nurse Practitioner (Family)
200 PAVILION WAY
SOUTHERN PINES, NC 28387
Nurse Practitioner (Family)
200 PAVILION WAY
SOUTHERN PINES, NC 28387
Nurse Practitioner (Family)
200 PAVILION WAY
SOUTHERN PINES, NC 28387
Dermatology
200 PAVILION WAY
SOUTHERN PINES, NC 28387
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 PAVILION WAY
SOUTHERN PINES, NC 28387
Internal Medicine
200 PAVILION WAY
SOUTHERN PINES, NC 28387
Physician Assistant
200 PAVILION WAY
SOUTHERN PINES, NC 28387

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 Shelby Johnson's NPI number?

The NPI number for Shelby Johnson is 1225445836. It was assigned to this individual provider in the NPPES registry on July 15, 2014.

Where is Shelby Johnson located?

Shelby Johnson practices at 200 Pavilion Way, Southern Pines, NC 28387. The listed phone number is (910) 246-4140.

What is Shelby Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shelby Johnson enrolled in Medicare?

Yes. Shelby 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.

What insurance does Shelby Johnson accept?

Health plans from Blue Cross and Blue Shield of NC, Medica and UnitedHealthcare list Shelby Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shelby Johnson affiliated with any hospitals?

According to CMS data, Shelby Johnson is affiliated with Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Shelby Johnson was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.