Shakeitrice Stokes Johnson, MA, CCC-SLP
NPI 1255693776ActiveIndividual· Speech-Language Pathologist· Augusta, GA
Speech-Language Pathologist (MA, CCC-SLP) in Augusta, Georgia, licensed in SC, with an NPI issued in June 2012. Medicare paid $3,551 for services to 19 patients in 2024.
Overview
| NPI | 1255693776 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, CCC-SLP |
| Sole proprietor | No |
| NPI issued | Jun 11, 2012 |
| Last updated in NPPES | Jun 14, 2023 |
| Certified by provider | Jun 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 5070 | SC |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 19 |
|---|---|
| Services billed | 209 across 3 procedure codes |
| Paid by Medicare | $3,551 |
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