Shadonna Johnson, NP
NPI 1164016424ActiveIndividual· Nurse Practitioner· Prentiss, MS
Nurse Practitioner (NP) in Prentiss, Mississippi, licensed in MS, with an NPI issued in February 2021. Enrolled in Medicare as practitioner - nurse practitioner. Phathom Pharmaceuticals, Inc. reported $120.65 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1164016424 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Feb 25, 2021 |
| Last updated in NPPES | Feb 25, 2021 |
| Certified by provider | Feb 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 903128 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MS) |
|---|
Industry payments (Open Payments)
- 2024$120.65 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Phathom Pharmaceuticals, Inc. | $120.65 | 1 |
What the 2024 payments were for
- Food and Beverage$120.65 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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