Shakeitrice Johnson, MA, CCC-SLP
Shakeitrice Johnson, MA, CCC-SLP is a provider specialising in Speech-Language Pathologist in Augusta, GA, registered under NPI 1255693776.
Getting there
The practice address on file is 3624 J DEWEY GRAY CIR, 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 |
|---|---|---|
| 5070 | SC | Speech-Language Pathologist primary |
This provider holds licence 5070 issued in SC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Qualified Speech Language Pathologist
- PAC ID
- 3072845551
- Enrollment ID
- I20191216001945
Medicare enrolment is recorded as approved under the provider type Practitioner - Qualified Speech Language Pathologist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Speech-Language Pathologist covers
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. NUCC Health Care Provider Taxonomy, code 235Z00000X
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 | |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist | 5070 | SC | primary |
| 235Z00000X | Speech-Language Pathologist | — | — |
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 | 1255693776 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 11, 2012 |
| Last updated | Jun 14, 2023 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Credential | MA, CCC-SLP |
| Practice address |
3624 J DEWEY GRAY CIR Augusta, GA 30909 (706) 651-2270 Fax (706) 651-2271 |
| Mailing address |
790 KNOX RD Harlem, GA 30814 |
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 | 2 | 5 | 5 | 6 | 9 | 3 | 7 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 1 | 5 | 3 | 9 | 6 | 7 | 5 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
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.