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MRS. SHAKEITRICE STOKES JOHNSON MA, CCC-SLP
NPI 1255693776
Speech-Language Pathologist in Augusta, GA

Active since June 11, 2012
3624 J DEWEY GRAY CIR, AUGUSTA, GA 30909(706) 651-2270(706) 651-2271 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Shakeitrice Stokes Johnson Ma, Ccc-slp NPPES

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

MRS. SHAKEITRICE STOKES JOHNSON MA, CCC-SLP (NPI 1255693776) is an individual speech-language pathologist provider in Augusta, Georgia, licensed in South Carolina (5070) and active in the NPI registry since June 2012. She maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1255693776
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. SHAKEITRICE STOKES JOHNSONCredential: MA, CCC-SLP
Location Address3624 J DEWEY GRAY CIRAugusta, GA 30909-6584
Mailing Address790 Knox RdHarlem, GA 30814-4527 · (706) 294-2222
Phone(706) 651-2270
Fax(706) 651-2271
Sole ProprietorNo
Enumeration DateJune 11, 2012
Last NPPES UpdateJune 14, 2023
NPPES CertifiedJune 14, 2023
✔ NPI 1255693776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in SC · 5070
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
3624 J DEWEY GRAY CIR, Augusta, GA 30909
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Secondary Practice Location 1

Location 1207 Hudson TrceAugusta, GA 30907-2010 · Phone (706) 823-5250

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shakeitrice Stokes Johnson Ma, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Shakeitrice Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neurobehavioral Associates, LLC
5.7 mi
Clinical
207 HUDSON TRCE
Augusta, GA 30907
  • Reassigned Medicare billing, Georgia enrollment
  • 14 clinicians in this Medicare group
NPI 1386059251 (706) 823-5250

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Therapy procedure for a range of mental processes, initial 15 minutes 97129
This therapy session, lasting 15 minutes, focuses on improving your mental processes. It's an initial step towards understanding your mental health needs. The therapist will engage in conversation, listen to your concerns, and help identify areas for improvement.
109 services17 patients

Other Providers at the Same Location NPPES 9

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

MRS. AMBER JORDAN MORRIS P.A.
Physician Assistant
3624 J DEWEY GRAY CIR, SUITE 103
AUGUSTA, GA 30909
Richmond County (706) 651-6700
MR. DANIEL E WELCH ATC/L
Specialist/Technologist (Athletic Trainer)
3624 J DEWEY GRAY CIR, SUITE 302
AUGUSTA, GA 30909
Richmond County (706) 651-2270
CSRA SURGICAL SOLUTIONS PC
Surgery
3624 J DEWEY GRAY CIR, SUITE 250
AUGUSTA, GA 30909
Richmond County (706) 855-9565
DR. CHRISTOPHER E GATES MD.,FACS
Specialist
3624 J DEWEY GRAY CIR, SUITE 250
AUGUSTA, GA 30909
Richmond County (706) 855-9565
DR. JOHN PAUL CARR M.D.
Family Medicine
3624 J DEWEY GRAY CIR, SUITE 308
AUGUSTA, GA 30909
Richmond County (706) 855-5650
AUGUSTA PRIMARY CARE SERVICES, LLC
Internal Medicine
3624 J DEWEY GRAY CIR, SUITE 308
AUGUSTA, GA 30909
Richmond County (706) 855-5650
AMY BETH SHOEMAKER ATC
Specialist/Technologist (Athletic Trainer)
3624 J DEWEY GRAY CIR, SUITE 308
AUGUSTA, GA 30909
Richmond County (706) 210-7529
AUGUSTA WOMEN'S HEALTH AND WELLNESS CENTER
Specialist
3624 J DEWEY GRAY CIR, SUITE 240
AUGUSTA, GA 30909
Richmond County (706) 228-6060

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 Shakeitrice Johnson's NPI number?

The NPI number for Shakeitrice Johnson is 1255693776. It was assigned to this individual provider in the NPPES registry on June 11, 2012.

Where is Shakeitrice Johnson located?

Shakeitrice Johnson practices at 3624 J Dewey Gray Cir, Augusta, GA 30909. The listed phone number is (706) 651-2270.

What is Shakeitrice Johnson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Shakeitrice Johnson enrolled in Medicare?

Yes. Shakeitrice Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shakeitrice Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shakeitrice Johnson reassigns Medicare benefits to Neurobehavioral Associates, LLC (Augusta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shakeitrice Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shakeitrice Johnson was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.