Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104959931 Individual Practitioner Female Practitioner

Shauntae Mclamore Johnson , PHYSICIAN ASST CERTI

Physician Assistant - Surgical • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Shauntae Johnson, PHYSICIAN ASST CERTI is a registered healthcare professional specializing in Physician Assistant - Surgical in Augusta, GA. Practice services are available at 3675 J DEWEY GRAY CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3675 J Dewey Gray Cir
Suite 300

Augusta, GA 309091868

Telephone 7068639595
Fax 8887453917
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
35 Specialists

Practicing in Augusta, GA (539 Statewide)

Telehealth Adoption Rate
2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-04-30
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License GA 004154

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003306135

Doctor of Medicine (M.D.)

Magen Luke

Nurse Practitioner - Family

NPI 1003696097
Andrea Sarata , PA-C

Physician Assistant

NPI 1013244466

Physician Assistant (Certified)

NPI 1013308360

Physician Assistant

NPI 1013950625

Doctor of Medicine (M.D.)

Dena Hammond , PA-C

Physician Assistant - Surgical

NPI 1033168463

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 28, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 28, 2015

Registered at 3675 J DEWEY GRAY CIR, SUITE 300, AUGUSTA, GA 309091868 (Tel: 7068639595)

📍
Updated Business Mailing Address October 28, 2015

Registered at PO BOX 3726, AUGUSTA, GA 309143726 (Tel: 7068639595)

👤
Provider Name / Credentials Updated October 28, 2015

Recorded as SHAUNTAE JOHNSON, PHYSICIAN ASST CERTI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2015

Physician Assistant (License #004154 in GA)

🟢
Initial NPI Registration & Enumeration March 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104959931
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2007
Last Update: April 30, 2020
Sole Proprietor: No

Mailing Address

Po Box 3726

Augusta, GA 309143726

Phone: 7068639595

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.