Shannon Gale Bouchillon, - Family Medicine in Southaven, MS

Shannon Gale Bouchillon, is a Family Medicine - Adult Medicine physician based in Southaven, Mississippi. Shannon Gale Bouchillon is licensed to practice in Mississippi (license number 907150) and her current practice location is 6376 Silo Square Ln Ste 104, Southaven, Mississippi. She can be reached at her office (for appointments etc.) via phone at (662) 470-7812.

NPI number for Shannon Gale Bouchillon is 1831082304 and her current mailing address is 6376 Silo Square Ln Ste 104, Southaven, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831082304.

Contact Information

Shannon Gale Bouchillon,
6376 Silo Square Ln Ste 104,
Southaven, MS 38672-1115
(662) 470-7812
Not Available

Map and Direction




Physician's Profile

Full NameShannon Gale Bouchillon
GenderFemale
SpecialityFamily Medicine - Adult Medicine
Location6376 Silo Square Ln Ste 104, Southaven, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1831082304
  • Provider Enumeration Date: 06/02/2025
  • Last Update Date: 06/02/2025

Medical Identifiers

Medical identifiers for Shannon Gale Bouchillon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831082304NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine 907150 (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Gale Bouchillon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shannon Gale Bouchillon,
6376 Silo Square Ln Ste 104,
Southaven, MS 38672-1115

Ph: (662) 470-7812
Shannon Gale Bouchillon,
6376 Silo Square Ln Ste 104,
Southaven, MS 38672-1115

Ph: (662) 470-7812

Reviews and Comments


Family Medicine Doctors in Southaven, MS

Saif M Tahsin, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671
Phone: 662-772-2980    Fax: 662-772-2960
John Carl Biery Jr., D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7736 Airways Blvd, Southaven, MS 38671
Phone: 662-772-3700    Fax: 662-772-3719
Dr. Gary Dwain Carr, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 6858 Swinnea Rd Bldg 7, Southaven, MS 38671
Phone: 662-510-8400    Fax: 662-510-8500
Walter Earl Carnahan, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5908 Getwell Rd, Southaven, MS 38672
Phone: 662-536-4646    Fax: 662-536-4443
Jennifer B Warren, FNP-C
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3495 Cobblestone Blvd S, Southaven, MS 38672
Phone: 662-892-2885    Fax: 662-890-1551
Dr. Nabeel Syed Ali, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671
Phone: 662-772-2980    Fax: 662-772-2960
Meagan Duval Chastant-qualls, FNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7651 Tchulahoma Rd, Southaven, MS 38671
Phone: 662-349-0980    Fax: 662-349-0990

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.