SHEDRA JOHNSON
NPI 1649716762
Social Worker - Clinical in Ocean Springs, MS

Active since January 12, 2017PECOS EnrolledAccepts Medicare Assignment
904 DESOTO ST, OCEAN SPRINGS, MS 39564(228) 872-8429(228) 872-0226 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2022, Jan 12, 2017 (2 updates tracked since 2017).

About Shedra Johnson NPPES

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

SHEDRA JOHNSON (NPI 1649716762) is an individual clinical provider in Ocean Springs, Mississippi, licensed in Mississippi (C7887) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1649716762
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHEDRA JOHNSON
Location Address904 DESOTO STOcean Springs, MS 39564-3737
Mailing Address904 Desoto StOcean Springs, MS 39564-3737 · (228) 872-8429 · Fax (228) 872-0226
Fax(228) 872-0226
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 12, 2017
Last NPPES UpdateSeptember 2, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2022
NPI 1649716762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MS · C7887
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
904 DESOTO ST, Ocean Springs, MS 39564

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

Shedra 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 ID5294128617
PECOS Enrollment IDI20220208001391
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

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
171 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39564 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
$0.00 typical visit price
range $51.65 – $159.18
Typical copayment $0.00 (range $12.91 – $39.79)
Most-billed visit code NA
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

Other Providers at the Same Location NPPES 5

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

Psychologist (Clinical)
904 DESOTO ST
OCEAN SPRINGS, MS 39564
Social Worker (Clinical)
904 DESOTO ST
OCEAN SPRINGS, MS 39564
Psychologist (Clinical)
904 DESOTO ST
OCEAN SPRINGS, MS 39564
Psychologist (Clinical)
904 DESOTO ST
OCEAN SPRINGS, MS 39564
Counselor (Mental Health)
904 DESOTO ST
OCEAN SPRINGS, MS 39564

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 Shedra Johnson's NPI number?

The NPI number for Shedra Johnson is 1649716762. It was assigned to this individual provider in the NPPES registry on January 12, 2017.

Where is Shedra Johnson located?

Shedra Johnson practices at 904 Desoto St, Ocean Springs, MS 39564. The listed phone number is (228) 872-8429.

What is Shedra Johnson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shedra Johnson enrolled in Medicare?

Yes. Shedra 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 Shedra Johnson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Shedra 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 Shedra Johnson was last updated on September 2, 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.