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

Shae Ashley Johnston

Individual provider Medical Physician Assistant · NPI 1730075144

Shae Ashley Johnston is a Physician Assistant in Kannapolis, North Carolina. Qualified in 2025, 1 year ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2025

Practice location Address checks out

4949 Professional Park Dr Ste 101
Kannapolis, NC 28081-8638
Phone: (704) 938-6521
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 001015594 (NC)

Record details

NPI number1730075144
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJune 13, 2025
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025
Mailing address1750 Camden Rd Apt 319, Charlotte, NC 28203-6553

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kannapolis