Mr. David Shane Johnson, PA-C
Mr. David Shane Johnson, PA-C is a Physician Assistant in Magee, Mississippi. Qualified in 2001, 25 years ago. Practices with Magee Benevolent Association, a 19-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 25
- Licensed in
- MS
- In the registry since
- 2007
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
376A Simpson Highway 149Magee, MS 39111-3409
Phone: (601) 849-1475
Fax: (601) 849-1549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA024 (MS) |
|---|
Record details
| NPI number | 1962619932 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | May 17, 2007 |
| Last updated in NPPES | December 23, 2019 |
| Certification date | December 23, 2019 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2001 (25 years in practice) |
| Group practice | Magee Benevolent Association — 19 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Magee
-
Magee After Hours Clinic PLLC
376 Simpson Highway 149 # A, Magee, MS 39111-3409 · (601) 849-1230