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MR. DAVID SHANE JOHNSON PA-C
NPI 1962619932
Physician Assistant in Magee, MS

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment
376A SIMPSON HIGHWAY 149, MAGEE, MS 39111(601) 849-1475(601) 849-1549 Get Directions Write a Review

NPPES record last updated: December 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 23, 2019, Dec 3, 2015 (2 updates tracked since 2015).

About Mr. David Shane Johnson Pa-c NPPES

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

MR. DAVID SHANE JOHNSON PA-C (NPI 1962619932) is an individual physician assistant in Magee, Mississippi, licensed in Mississippi (PA024) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Magee General Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1962619932
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DAVID SHANE JOHNSONCredential: PA-C
Location Address376A SIMPSON HIGHWAY 149Magee, MS 39111-3409
Mailing AddressPo Box 769Magee, MS 39111-0769 · (601) 849-1475 · Fax (601) 849-1549
Phone(601) 849-1475
Fax(601) 849-1549
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateMay 17, 2007
Last NPPES UpdateDecember 23, 20192 updates tracked since enumeration
✔ NPI 1962619932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MS · PA024
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
376A SIMPSON HIGHWAY 149, Magee, MS 39111
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Other Identifiers 1

Medicaid00125918MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Mr. David Shane Johnson Pa-c 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 ID9436115292
PECOS Enrollment IDI20041203000641
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 2

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.

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.
99 services84 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Magee General Hospital

Acute Care Hospitals · Magee, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number250124
Location300 3rd Ave SEMagee, MS 39111 · Simpson County
Emergency services

Covington County Hospital Cah

Critical Access Hospitals · Collins, MS
OwnershipGovernment - Local
CMS Certification Number251325
Location701 South Holly AvenueCollins, MS 39428 · Covington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39111 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
11 suppliers125 claims125 services$36.22 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
13 suppliers143 claims143 services$86.18 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
12 suppliers105 claims251 services$32.25 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
10 suppliers53 claims283 services$18.75 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers32 claims179 services$13.91 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
13 suppliers100 claims100 services$54.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MAGEE BENEVOLENT ASSOCIATION
General Acute Care Hospital
376A SIMPSON HIGHWAY 149
MAGEE, MS 39111
Simpson County (601) 849-5321
MAGEE BENEVOLENT ASSOCIATION D/B/A MAGEE GENERAL HOSPITAL
Nurse Practitioner
376A SIMPSON HIGHWAY 149
MAGEE, MS 39111
Simpson County (601) 849-5321
WBD
Family Medicine
376A SIMPSON HIGHWAY 149
MAGEE, MS 39111
Simpson County (601) 849-7240
DM AND C
Family Medicine
376A SIMPSON HIGHWAY 149
MAGEE, MS 39111
Simpson County (601) 849-1236

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 David Johnson's NPI number?

The NPI number for David Johnson is 1962619932. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is David Johnson located?

David Johnson practices at 376A Simpson Highway 149, Magee, MS 39111. The listed phone number is (601) 849-1475.

What is David Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is David Johnson enrolled in Medicare?

Yes. David 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 David 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 1 other insurer list David 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.

Is David Johnson affiliated with any hospitals?

According to CMS data, David Johnson is affiliated with Magee General Hospital and Covington County Hospital Cah.

When was this NPI record last updated?

The NPPES record for David Johnson was last updated on December 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.