Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diera Shinay Johnson

Individual provider Family Nurse Practitioner · NPI 1205701893

Diera Shinay Johnson is a Nurse Practitioner in Valdosta, Georgia. Qualified in 2025, 1 year ago. Practices with Rural Urgent Care LLC, a 167-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2025

Practice location Address checks out

3200 N Ashley St Ste C
Valdosta, GA 31602-5911
Phone: (229) 231-4691
Fax: (919) 867-3493
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-NP305541 (GA)

Record details

NPI number1205701893
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 6, 2025
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Rural Urgent Care Llc — 167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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