David Shane Johnson, PA-C
Physician Assistant · Magee, MS
Practice location
376a Simpson Highway 149Magee, MS 39111-3409
- Phone
- (601) 849-1475
- Fax
- (601) 849-1549
NPI record
- NPI
- 1962619932
- Entity type
- Individual (Type 1)
- Enumeration date
- May 17, 2007
- Last updated
- December 23, 2019
- Certified
- December 23, 2019
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
PA024 | MS |
Mailing address
PO Box 769Magee, MS 39111-0769
- Phone
- (601) 849-1475
- Fax
- (601) 849-1549
About David Johnson
David Shane Johnson, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 376a Simpson Highway 149, Magee, MS 39111-3409. The NPI number 1962619932 was assigned on May 17, 2007 and the record was last updated on December 23, 2019.
David Johnson lists a license in the registry: #PA024 (MS) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of David Shane Johnson, PA-C?
The NPI number is 1962619932.
What is the phone number of David Johnson?
The phone number listed for the practice location is (601) 849-1475.
Where is David Johnson located?
376a Simpson Highway 149, Magee, MS 39111-3409.
What is the taxonomy code for David Johnson?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Physician Assistant providers in Magee
- Magee After Hours Clinic PLLC376 Simpson Highway 149 # a