Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diera Shinay Johnson

Individual provider Family Nurse Practitioner · NPI 1205701893

Diera Shinay Johnson is a Nurse Practitioner in Valdosta, Georgia. Qualified in 2025, 1 year ago. Practices with Rural Urgent Care LLC, a 167-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2025
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Practice location Address checks out

3200 N Ashley St Ste C
Valdosta, GA 31602-5911
Phone: (229) 231-4691
Fax: (919) 867-3493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-NP305541 (GA)

Record details

NPI number1205701893
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 6, 2025
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026
Mailing address3200 N Ashley St Ste C, Valdosta, GA 31602-5911

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Rural Urgent Care Llc — 167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Valdosta