SHANNON DIONE PITTMAN MD NPI 1215038534

NPI Information

  • NPI: 1215038534
  • Provider Name: SHANNON DIONE PITTMAN, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1815 HOSPITAL DR
    JACKSON, MS
    ZIP 39204
  • Phone: (601) 815-5700

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NPI Details

Shannon Dione Pittman, MD is a family medicine in Jackson, MS with 24 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Shannon Dione Pittman, MD NPI is 1215038534. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

1815 HOSPITAL DR
JACKSON, MS
ZIP 39204-425
Phone: (601) 815-5700
Fax: (601) 346-5708

The NPI 1215038534 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)
  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)

The enumeration date for this NPI number is 9/26/2006 and was last updated on 2/13/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine18628MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I19164MEDICARE UPINMISSISSIPPI
21334952MEDICAIDLOUISIANA
3302I088833MEDICARE PINMISSISSIPPI
4P00462304OTHERMISSISSIPPIRAILROAD MEDICARE
5080004044MEDICARE PINMISSISSIPPI
6P00249267OTHERMISSISSIPPIRAILROAD
7512I080005MEDICARE PINMISSISSIPPI
801273350MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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