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Shenkia Isadora Johnson , LPN

Licensed Practical Nurse β€’ Cairo, GA

Active NPI 1629445036 Individual Practitioner Female Practitioner
Practice location in NPPES

10 1st Ave Ne
Cairo, GA 398282101

Call 2293792906 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

10 1st Ave Ne

Cairo, GA 398282101

Telephone 2293792906
Organization at the Same NPPES Address or Phone
Young At Heart Healthcare Services, Llc Facility NPI 1477111565

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Camilla, GA; Whigham, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Cairo and Georgia

3 active clinicians are listed under Licensed Practical Nurse with a practice address in Cairo, GA (1,343 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-03-07
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES GA 071409

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES GA LPN071409
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Secondary Practice Locations

196 S Macarthur Drive

Camilla, GA 317363454

Phone: 2293362247

379 Jowers Rd

Whigham, GA 39897

Phone: 8009137062

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Patricia Morris , PMHNP-BC, NP-C

Nurse Practitioner - Psychiatric/Mental Health

NPI 1851931620

Psychiatric-Mental Health Nurse Practitioner (Board Certified), Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location March 07, 2021

Registered at 10 1ST AVE NE, CAIRO, GA 398282101 (Tel: 2293792906)

πŸ“
Updated Practice Location June 03, 2019

Registered at 500 CULPEPPER DR, CAIRO, GA 398283137 (Tel: 2293792906)

πŸ“
Updated Business Mailing Address June 03, 2019

Registered at PO BOX 1232, CAIRO, GA 398280996 (Tel: 2293792906)

πŸ“
Updated Practice Location July 12, 2018

Registered at 379 JOWERS RD, WHIGHAM, GA 39897 (Tel: 8009137062)

πŸ“
Updated Business Mailing Address July 12, 2018

Registered at 379 JOWERS RD, WHIGHAM, GA 398972101 (Tel: 2293792906)

πŸ‘€
Provider Name / Credentials Updated July 12, 2018

Recorded as SHENKIA JOHNSON, LPN

βœ…
NPI Profile Active September 10, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 10, 2015

Registered at 196 S MACARTHUR DRIVE, CAMILLA, GA 317363454 (Tel: 2293362247)

πŸ“
Business Mailing Address (Initial Record) September 10, 2015

Registered at 196 S MACARTHUR DRIVE, CAMILLA, GA 317363454 (Tel: 2293362247)

πŸ‘€
Provider Name / Credentials (Initial Record) September 10, 2015

Recorded as SHENKIA BUTLER, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2015

Counselor (license number reported to NPPES: GA LPN071409)

🟒
Initial NPI Registration & Enumeration September 01, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629445036
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2015
Last Update: March 07, 2021
Sole Proprietor: Yes

Mailing Address

Po Box 1232

Cairo, GA 398280996

Phone: 2293792906

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.