Shontillious Devonique Johnson
NPI 1346904182ActiveIndividual· Physician Assistant· High Point, NC
Physician Assistant in High Point, North Carolina, trained at Wake Forest University School of Medicine (class of 2021). Their prescriptions cost Medicare Part D more than their services did: $750,692 for 1,554 claims, against $8,595 paid for services in 2024. Cequr Corporation reported $133.19 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1346904182 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 27, 2021 |
| Last updated in NPPES | Dec 7, 2021 |
| Certified by provider | Dec 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0010-11763 | NC |
| Physician Assistant, Medical | 363AM0700X | — | — |
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 - Physician Assistant (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 74 |
|---|---|
| Services billed | 186 across 9 procedure codes |
| Paid by Medicare | $8,595 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,554 · 2,776 30-day fills |
|---|---|
| Patients | 194 |
| Total drug cost | $750,692 |
| Generic share | 21% of claims |
Education and affiliations
| Medical school | Wake Forest University School of Medicine |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Wake Forest University Health SciencesHigh Point, NC · 2,645 clinicians
Hospital affiliation
- North Carolina Baptist HospitalWinston-Salem, NC
Industry payments (Open Payments)
- 2024$133.19 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Cequr Corporation | $133.19 | 1 |
What the 2024 payments were for
- Food and Beverage$133.19 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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