Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johnny Lee Hedges, AG-ACNP-BC

Individual provider Nurse Practitioner · NPI 1811606858

Johnny Lee Hedges, AG-ACNP-BC is a Nurse Practitioner in San Angelo, Texas. Qualified in 2022, 4 years ago. Practices with Shannon Clinic, a 547-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2022
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Practice location Address checks out

102 N Magdalen St
San Angelo, TX 76903-5400
Phone: (325) 655-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1099256 (TX)

Record details

NPI number1811606858
Entity typeIndividual (Type 1)
GenderMale
Credentials AG-ACNP-BC
Sole proprietorNo
NPI enumeratedNovember 18, 2022
Last updated in NPPESNovember 18, 2022
Certification dateNovember 17, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Shannon Clinic — 547 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

Other providers in San Angelo