Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Shontillious Devonique Johnson

Individual provider Medical Physician Assistant · NPI 1346904182

Shontillious Devonique Johnson is a Physician Assistant in High Point, North Carolina. Graduated from Wake Forest University School of Medicine in 2021, 5 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
5
Trained at
Wake Forest University School of Medicine
Licensed in
NC
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1814 Westchester Dr Ste 103
High Point, NC 27262-7369
Phone: (336) 716-6099
Fax: (336) 716-3202
Show map & directions

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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 0010-11763 (NC)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1346904182
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 27, 2021
Last updated in NPPESDecember 7, 2021
Certification dateDecember 7, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients74
Services billed 186 a service is one billed item, such as a visit, a test or a procedure
Average patient age67

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Wake Forest University Health Sciences

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2621 clinicians in the practice; 12 are shown here.

Other providers in High Point