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

ANTALLIA SHAUNTELL JOHNSON CRNP
NPI 1710443767
Nurse Practitioner - Obstetrics & Gynecology in Boaz, AL

Active since February 14, 2019PECOS Enrolled
2505 US HWY 431 WOMEN'S CENTER SUITE A, BOAZ, AL 35957(256) 840-4530(256) 840-4537 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antallia Shauntell Johnson Crnp NPPES

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

ANTALLIA SHAUNTELL JOHNSON CRNP (NPI 1710443767) is an individual obstetrics & gynecology provider in Boaz, Alabama, licensed in Alabama (1-154179) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1710443767
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameANTALLIA SHAUNTELL JOHNSONCredential: CRNP
Location Address2505 US HWY 431 WOMEN'S CENTER SUITE ABoaz, AL 35957
Mailing Address2505 Us Hwy 431 Women's Center Suite ABoaz, AL 35957 · (256) 840-4530 · Fax (256) 840-4537
Fax(256) 840-4537
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 14, 2019
Last NPPES UpdateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
NPI 1710443767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License Licensed in AL · 1-154179
2505 US HWY 431 WOMEN'S CENTER SUITE A, Boaz, AL 35957

Secondary Practice Locations 3

Location 148 Medical Park Dr E Ste 355Birmingham, AL 35235-3470 · Phone (205) 877-2121 · Fax (205) 877-2569
Location 24360 Main StPinson, AL 35126-3290 · Phone (205) 608-9013 · Fax (205) 264-2632
Location 32006 Brookwood Medical Ctr Dr Ste 600Birmingham, AL 35209-6885 · Phone (205) 397-1286 · Fax (205) 397-1340

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

Antallia Shauntell Johnson Crnp 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 ID2567704620
PECOS Enrollment IDI20190422001569
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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
23 services23 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
19 services19 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
19 services19 patients
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.
19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35957 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 Antallia Johnson's NPI number?

The NPI number for Antallia Johnson is 1710443767. It was assigned to this individual provider in the NPPES registry on February 14, 2019.

Where is Antallia Johnson located?

Antallia Johnson practices at 2505 Us Hwy 431 Women's Center Suite A, Boaz, AL 35957. The listed phone number is (256) 840-4530.

What is Antallia Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Antallia Johnson enrolled in Medicare?

Yes. Antallia 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 Antallia Johnson accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Antallia 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 Antallia Johnson was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.