MRS. SHONDA DEANA JOHNSON
NPI 1295492130
Nurse Practitioner - Psychiatric/Mental Health in Greenville, SC

Q: What is Shonda Johnson's NPI number?

The NPI number for Shonda Johnson is 1295492130. It was assigned to this individual provider in the NPPES registry on November 28, 2021.

Q: What is Shonda Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Shonda Johnson was last updated on October 14, 2022. 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.

Active since November 28, 2021PECOS Enrolled

200 PATEWOOD DR FL 4, GREENVILLE, SC 29615(864) 454-5612(864) 454-5121 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 14, 2022, Sep 6, 2022, Nov 28, 2021 (3 updates tracked since 2021).

On this page

About Mrs. Shonda Deana Johnson NPPES

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

MRS. SHONDA DEANA JOHNSON (NPI 1295492130) is an individual psychiatric/mental health provider in Greenville, South Carolina, licensed in South Carolina (26263) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1295492130

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. SHONDA DEANA JOHNSON

Location Address200 PATEWOOD DR FL 4Greenville, SC 29615-3593

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842

Phone(864) 454-5612

Fax(864) 454-5121

Sole ProprietorNo

Enumeration DateNovember 28, 2021

Last NPPES UpdateOctober 14, 20223 updates tracked since enumeration

NPPES CertifiedOctober 14, 2022

✔ NPI 1295492130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in SC · 26263

200 PATEWOOD DR FL 4, Greenville, SC 29615

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Secondary Practice Location 1

Location 11601 Greene StColumbia, SC 29208-4001 · Phone (803) 777-7412

Other Identifiers 1

MedicaidPENDINGSC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shonda Deana Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 29615 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

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 Shonda Johnson's NPI number?

The NPI number for Shonda Johnson is 1295492130. It was assigned to this individual provider in the NPPES registry on November 28, 2021.

Where is Shonda Johnson located?

Shonda Johnson practices at 200 Patewood Dr Fl 4, Greenville, SC 29615. The listed phone number is (864) 454-5612.

What is Shonda Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shonda Johnson enrolled in Medicare?

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

What insurance does Shonda Johnson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and UnitedHealthcare list Shonda 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.

When was this NPI record last updated?

The NPPES record for Shonda Johnson was last updated on October 14, 2022. 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.