| Dr James Mark Shockley, MD | |
|
2124 14th St, Meridian, MS 39301-4040 | |
| (601) 553-6000 | |
| (601) 553-6144 |
| Full Name | Dr James Mark Shockley |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 10 Years |
| Location | 2124 14th St, Meridian, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043673833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 25482 (Mississippi) | Secondary |
| 207P00000X | Emergency Medicine | 38180 (Alabama) | Primary |
| 207P00000X | Emergency Medicine | ME140457 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Santa Rosa Medical Center | Milton, FL | Hospital |
| Washington County Hospital | Chatom, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Houston County Healthcare Authority | 9436062296 | 258 |
| Correct Care, Inc. | 8628980992 | 93 |
| Santa Rosa Hb Medical Services Llc | 4284089335 | 35 |
| Entity Name | Houston County Healthcare Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209 |
| Entity Name | Alteon Health Alabama, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477708857 PECOS PAC ID: 5698830552 Enrollment ID: O20090210000557 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Mark Shockley, MD 2000 Banquos Trl, Pensacola, FL 32503-5837 Ph: (205) 657-4741 | Dr James Mark Shockley, MD 2124 14th St, Meridian, MS 39301-4040 Ph: (601) 553-6000 |
Dr. James A. Snyder, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-9260 Fax: 601-703-4050 | |
Dr. William Meyer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 Constitution Ave, Meridian, MS 39301 Phone: 601-693-2511 Fax: 601-484-3357 | |
James Dean Perkins, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-9260 Fax: 601-703-4050 | |
Dr. Phillip K Mcdonald, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-553-6000 Fax: 601-553-6115 | |
Misty Nicole Rea, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-9260 Fax: 601-703-4050 | |
John W Johnston Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-4926 Fax: 601-703-4928 |