DR. JAMES MARK SHOCKLEY (NPI# 1043673833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043673833 |
| Entity Type | Individual |
| Full Name | DR. JAMES MARK SHOCKLEY |
| Credential | M.D. |
| Practice Address |
2124 14th St Meridian MS 39301-4040 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 6015536000 |
| Practice Fax Number | 6015536144 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2018-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 25482 | MS | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2500 N State St, Jackson, MS 392164500 | 6019845582 | 6019845583 |
| Street Address |
2124 14TH ST |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-4040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932181146 | Deborah Sims Parten | Nurse Anesthetist, Certified Registered | 2124 14th St, Suite 202, Meridian, MS 39301-4040 | 2005-11-15 |
| 1023624467 | Lekica Roshelle Boyd | Nurse Practitioner | 2124 14th St, Meridian, MS 39301-4040 | 2020-09-21 |
| 1437768272 | Elaine Blount Rigdon | Nurse Practitioner | 2124 14th St, Meridian, MS 39301-4040 | 2020-07-28 |
| 1801405923 | Melinda Bozeman | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2020-07-24 |
| 1952936213 | Kevin Hatcher | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2020-03-06 |
| 1790325124 | Nancy Lynn Brown | Nurse Practitioner | 2124 14th St, Meridian, MS 39301-4040 | 2020-01-14 |
| 1023658705 | Corinna Lynn Dorais | Dietitian, Registered | 2124 14th St, Meridian, MS 39301-4040 | 2020-01-10 |
| 1962045765 | Melissa Dedeaux | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2019-10-24 |
| 1245889807 | Jamie Agent | Nurse Practitioner | 2124 14th St, Meridian, MS 39301-4040 | 2019-09-06 |
| 1750846473 | Jessica Lewis | Nurse Practitioner | 2124 14th St, Meridian, MS 39301-4040 | 2019-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922365436 | Colby Austin | Emergency Medicine | 2963 E Copper Point Dr Ste 150, Meridian, ID 83642-9056 | 2012-04-20 |
| 1245514454 | Todd Robert Smith | Emergency Medicine | 3835 S Firenze Way, Meridian, ID 83642-1434 | 2011-10-06 |
| 1295811867 | Randy Lee Barnes | Emergency Medicine | 3277 E Louise Dr Ste 410, Meridian, ID 83642-9360 | 2006-10-27 |
| 1417040015 | Joseph C. Sumrall | Emergency Medicine | 1102 Constitution Avenue, Meridian, MS 39302 | 2006-10-02 |
| 1588676597 | James Henderson | Emergency Medicine | 1201 22nd Ave Ste C, Meridian, MS 39301-4010 | 2006-08-12 |
| 1922044502 | Perry Wallace | Emergency Medicine | 2121 5th St, Suite 202, Meridian, MS 39301-5108 | 2006-06-21 |
| 1730133208 | Idaho Emergency Physicians, P.a. | Emergency Medicine | 2963 E Copper Point Dr, Suite 150, Meridian, ID 83642-9055 | 2006-05-20 |
| 1235189622 | Travis W Robbins | Emergency Medicine | 1900 W Chinden Blvd, Meridian, ID 83646-6690 | 2006-05-10 |
| 1376167114 | Amy Michele Zappia | Emergency Medicine | 3080 E Gentry Way Ste 210, Meridian, ID 83642-3013 | 2020-06-06 |
| 1780038711 | Alexander William Loehr | Emergency Medicine | 3080 E Gentry Way Ste 210, Meridian, ID 83642-3013 | 2016-04-15 |
| Find all providers in MERIDIAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.