Individual provider · Type 1 NPI

Shelby Johnson, PA-C

Physician Assistant · Southern Pines, NC

NPI number 1225445836 Active

Practice location

200 Pavilion Way
Southern Pines, NC 28387-4561

Call (910) 246-4140 Map

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071

Other practice locations

  • 555 Carthage St, Sanford, NC 27330-4104 · (919) 774-6518
  • 13123 E 16th Ave, Aurora, CO 80045-7106 · (720) 777-1234

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X0004000 (CO)
Physician Assistant Primary 363A00000X0010-13273 (NC)
Physician Assistant 363A00000X55573 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

27 other providers at this address

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About NPI 1225445836

Shelby Johnson, PA-C's National Provider Identifier is 1225445836, issued on Jul 15, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Southern Pines, NC. The record was last updated on Jan 16, 2026.