| Shannon Green Johnston, NP-C | |
|
1 Arh Lane, Suite 100, Low Moor, VA 24457 | |
| (540) 862-6777 | |
| (540) 863-9167 |
| Full Name | Shannon Green Johnston |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1 Arh Lane, Suite 100, Low Moor, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427544089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0024176323 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lewisgale Hospital Alleghany | Low moor, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| H2 Rehabilitation Services Of Virginia, Llc | 1658280128 | 50 |
| Lewis Gale Physicians Llc | 6507886231 | 191 |
| Entity Name | Lewis Gale Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902977705 PECOS PAC ID: 6507886231 Enrollment ID: O20051128000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Green Johnston, NP-C 2000 Health Park Dr Fl Hp2, Brentwood, TN 37027-4692 Ph: (615) 373-7600 | Shannon Green Johnston, NP-C 1 Arh Lane, Suite 100, Low Moor, VA 24457 Ph: (540) 862-6777 |
Kimberly N Moyers, RN, MSN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Arh Lane, Suite 800, Low Moor, VA 24457 Phone: 540-862-6750 Fax: 540-862-3742 | |
Ms. Mary Kathleen Long, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Arh Lane, Suite 800, Low Moor, VA 24457 Phone: 540-862-6750 | |
Tara M Spence, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Arh Ln., Low Moor, VA 24457 Phone: 540-862-7064 Fax: 540-862-5727 | |
Demetria Shawnte Bates, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Arh Lane, Suite 400, Low Moor, VA 24457 Phone: 540-862-7064 Fax: 540-862-5727 |