Shauntae Johnson, PHYSICIAN ASST CERTI
Shauntae Johnson, PHYSICIAN ASST CERTI is a Surgical Physician Assistant in Augusta, GA, registered under NPI 1104959931. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 3675 J DEWEY GRAY CIR SUITE 300, Augusta, GA 30909. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 004154 | GA | Physician Assistant |
This provider holds licence 004154 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Surgical covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363AS0400X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363AS0400X | Surgical Physician Assistant Surgical | — | — | primary |
| 363A00000X | Physician Assistant | 004154 | GA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1104959931 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 13, 2007 |
| Last updated | Apr 30, 2020 |
| Status | Active |
| Sole proprietor | No |
| Credential | PHYSICIAN ASST CERTI |
| Practice address |
3675 J DEWEY GRAY CIR SUITE 300 Augusta, GA 30909 (706) 863-9595 Fax (888) 745-3917 |
| Mailing address |
PO BOX 3726 Augusta, GA 30914 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 0 | 4 | 9 | 5 | 9 | 9 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 0 | 4 | 9 | 5 | 9 | 9 | 6 |
Sum = 69 · next multiple of 10 = 70 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.