MRS. SHAKEITRICE STOKES JOHNSON (MA, CCC-SLP) – Speech-Language Pathologist, NPI 1255693776

MRS. SHAKEITRICE STOKES JOHNSON (MA, CCC-SLP) is a healthcare provider. based in Harlem, Georgia. specializing in Speech-Language Pathologist. They hold the professional credentials MA, CCC-SLP. They hold a License No. 5070 (SC). The NPI Number for MRS. SHAKEITRICE STOKES JOHNSON (MA, CCC-SLP) is 1255693776

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHAKEITRICE STOKES JOHNSON (MA, CCC-SLP)
NPI
1255693776
Phone
(706) 294-2222
Address
790 KNOX RD
Enumeration Date
11 June 2012
Last Update Date
14 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7068235250
Graduation Year
2012 (14 years ago)
PAC ID
3072845551
Group Practice PAC ID
2769627660
Professional Enrollment ID
I20191216001945
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for MRS. SHAKEITRICE STOKES JOHNSON (MA, CCC-SLP)

  • 790 KNOX RD

    HARLEM, GA 308144527

    Phone: (706) 294-2222

    Type: Mailing

  • 207 Hudson Trce

    Augusta, GA 309072010

    Phone: (706) 823-5250

    Type: Location

  • 73 SIKES CIR

    MAULDIN, SC 296622590

    Phone: (706) 294-6222

    Type: Mailing

  • 379 PINEHAVEN STREET EXT

    LAURENS, SC 293602672

    Phone: (864) 984-6584

    Type: Location

  • 3624 J DEWEY GRAY CIR

    AUGUSTA, GA 309096584

    Phone: (706) 651-2270

    Fax: (706) 651-2271

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-12-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191216001945IQualified Speech Language PathologistGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92523Evaluation of speech sound production with evaluation of language comprehension and expression11442$0
92507Treatment of speech, language, voice, communication, and/or hearing processing disorder11341$0
View full utilization report →

Insurance plans in this area (ZIP 30814)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769627660View full group profile
NameSpecialtyState
Mental Health CounselorTX
Qualified Speech Language PathologistNJ
Mental Health CounselorGA
P S Y C H I A T R YCA
Clinical PsychologistGA
Clinical Psychologist, PsychiatryCA
Clinical Social WorkerGA
Clinical PsychologistGA

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Frequently asked questions

What federal number belongs to MRS. SHAKEITRICE STOKES JOHNSON (MA, CCC-SLP)?
The federal identifier for MRS. SHAKEITRICE STOKES JOHNSON (MA, CCC-SLP) is NPI 1255693776.
Is MRS. SHAKEITRICE STOKES JOHNSON (MA, CCC-SLP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MRS. SHAKEITRICE STOKES JOHNSON (MA, CCC-SLP) work in?
You can think of MRS. SHAKEITRICE STOKES JOHNSON (MA, CCC-SLP) as practicing within Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where is MRS. SHAKEITRICE STOKES JOHNSON (MA, CCC-SLP)'s primary listing?
We display Harlem, Georgia because that is what the record indicates for MRS. SHAKEITRICE STOKES JOHNSON (MA, CCC-SLP).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.