SHAMEKA LOGAN JOHNSON NPI 1972215382

NPI Information

  • NPI: 1972215382
  • Provider Name: SHAMEKA LOGAN JOHNSON
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2305 WELLINGTON DR SW
    WILSON, NC
    ZIP 27893
  • Phone: (252) 306-7474

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NPI Details

Shameka Logan Johnson is a psychiatric/mental health nurse practitioner in Wilson, NC with 4 years of experience. Shameka Logan Johnson NPI is 1972215382. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2305 WELLINGTON DR SW
WILSON, NC
ZIP 27893-400
Phone: (252) 306-7474

The NPI 1972215382 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/16/2022 and was last updated on 7/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner5017490NORTH CAROLINANo
2163WP0807XRegistered NursePsychiatric/Mental Health, Child & Adolescent0024185817VIRGINIANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health2022009320NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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