Individual provider Active NPI

John Garold Shields, MD

  • Obstetrics & Gynecology Physician
  • West Point, MS
National Provider Identifier
1023074101
Registry record updated Feb 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
08804 Issued in MS
Practice address
747 Medical Center Dr
West Point, MS 39773-9342
Phone
(662) 494-9466
Fax
(662) 494-9900
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 08804 MS Primary

Addresses

Primary practice location

747 Medical Center Dr
West Point, MS 39773-9342

Mailing address

747 Medical Center Dr
West Point, MS 39773-9342
Phone (662) 494-9466

Other identifiers 1

IdentifierTypeStateIssuer
00118146MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100520000119 MS Practitioner - Obstetrics/Gynecology 5597894113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Mississippi Medical Clinics IncGroup PAC ID 6103736665, 120 clinicians

Practice addresses (Care Compare)

373 Medical Ctr Cir
The Women'S Group West Point
West Point, MS 39773-0432
Phone (662) 494-9466

Hospital & facility affiliations

  • Clay County Medical Corporation Hospital, West Point, MS, CCN 250067
  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
  • BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
08804MSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Medical Clinics Inc Obstetrics & Gynecology CurrentSince Jul 22, 1997 Accepting new patients
North Mississippi Medical Clinics Inc Obstetrics & Gynecology CurrentSince Jul 22, 1997 Accepting new patients

Locations

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

373 Medical Center Cir
West Point, MS 39773
Phone (662) 494-9466

Interoperability endpoints

  • Direct secure messaging: johnshields@nmhs.medalliesdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298678400000",
    "number": "1023074101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 MEDICAL CENTER DR",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397739342",
            "telephone_number": "662-494-9466",
            "fax_number": "662-494-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 MEDICAL CENTER DR",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397739342",
            "telephone_number": "662-494-9466",
            "fax_number": "662-494-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "JOHN",
        "middle_name": "GAROLD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2011-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "08804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118146",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Point, MS

Sources for this page

Verify at the official NPI Registry.