Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 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
Claim this listing Report a problem Suggest an edit

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

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Other providers in High Point