SHAE ASHLEY JOHNSTON
NPI 1730075144
Physician Assistant - Medical in Kannapolis, NC

Active since June 13, 2025PECOS EnrolledAccepts Medicare Assignment
4949 PROFESSIONAL PARK DR STE 101, KANNAPOLIS, NC 28081(704) 938-6521 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 12, 2025, Jun 13, 2025 (2 updates tracked since 2025).

About Shae Ashley Johnston NPPES

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

SHAE ASHLEY JOHNSTON (NPI 1730075144) is an individual medical provider in Kannapolis, North Carolina, licensed in North Carolina (001015594) and active in the NPI registry since June 2025. The provider is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1730075144
Entity TypeIndividual
Primary Taxonomy363AM0700X
Provider Legal NameSHAE ASHLEY JOHNSTON
Location Address4949 PROFESSIONAL PARK DR STE 101Kannapolis, NC 28081-8638
Mailing Address1750 Camden Rd Apt 319Charlotte, NC 28203-6553 · (912) 506-1451
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 13, 2025
Last NPPES UpdateOctober 14, 20252 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
NPI 1730075144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NC · 001015594
4949 PROFESSIONAL PARK DR STE 101, Kannapolis, NC 28081

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

Shae Ashley Johnston 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 ID3375039878
PECOS Enrollment IDI20260105003133
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.

Hospital Affiliations CMS Care Compare 2

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

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

Family Medicine
4949 PROFESSIONAL PARK DR STE 101
KANNAPOLIS, NC 28081
Family Medicine
4949 PROFESSIONAL PARK DR STE 101
KANNAPOLIS, NC 28081
Family Medicine
4949 PROFESSIONAL PARK DR STE 101
KANNAPOLIS, NC 28081
Family Medicine
4949 PROFESSIONAL PARK DR STE 101
KANNAPOLIS, NC 28081

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 Shae Johnston's NPI number?

The NPI number for Shae Johnston is 1730075144. It was assigned to this individual provider in the NPPES registry on June 13, 2025.

Where is Shae Johnston located?

Shae Johnston practices at 4949 Professional Park Dr Ste 101, Kannapolis, NC 28081. The listed phone number is (704) 938-6521.

What is Shae Johnston's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shae Johnston enrolled in Medicare?

Yes. Shae Johnston 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.

Is Shae Johnston affiliated with any hospitals?

According to CMS data, Shae Johnston is affiliated with Carolinas Medical Center-Northeast and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Shae Johnston was last updated on October 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.