Dr. James Mark Shockley, M.D.
Emergency Medicine in Meridian, MS. Individual provider (NPI-1).
Details
- NPI
- 1043673833
- Entity type
- Individual (NPI-1)
- Name
- Dr. James Mark Shockley
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2016
- Certification date
- Oct 2, 2025
- Last updated
- Oct 2, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 38180 | AL | Yes |
| 207P00000X | Emergency Medicine | 25482 | MS | |
| 207P00000X | Emergency Medicine | ME140457 | FL |
Practice location
2124 14th StMeridian, MS 39301-4040
Phone 601-553-6000 · Fax 601-553-6144
Mailing address
2000 Banquos TrlPensacola, FL 32503-5837
Phone 205-657-4741
Other practice locations
Jackson, MS 39216-4500
Phone 601-984-5582 · Fax 601-984-5583
Milton, FL 32570-5062
Phone 850-626-7762
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 21 Emergency Medicine Physician providers in Meridian · All 1,794 providers in Meridian
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