Individual provider Active NPI

James Mark Shockley, M.D.

  • Emergency Medicine Physician
  • Meridian, MS
National Provider Identifier
1043673833
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
38180 Issued in AL
Practice address
2124 14TH St
Meridian, MS 39301-4040
Phone
(601) 553-6000
Fax
(601) 553-6144
NPI assigned
Mar 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25482 MS
Emergency Medicine Physician 207P00000X 38180 AL Primary
Emergency Medicine Physician 207P00000X ME140457 FL

Addresses

Primary practice location

2124 14TH St
Meridian, MS 39301-4040

Mailing address

2000 Banquos TRL
Pensacola, FL 32503-5837
Phone (205) 657-4741

Other practice location 1

6002 Berryhill Rd
Milton, FL 32570-5062
Phone (850) 626-7762

Other practice location 2

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190819002901 FL Practitioner - Emergency Medicine 2668766627 Reassigns benefits to 5 organizations
I20230609001083 AL Practitioner - Emergency MedicinePractitioner - Internal Medicine 2668766627 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
University of Alabama School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston County Healthcare AuthorityGroup PAC ID 9436062296, 256 clinicians
Correct Care, Inc.Group PAC ID 8628980992, 96 clinicians
Santa Rosa HB Medical Services LLCGroup PAC ID 4284089335, 35 clinicians

Practice addresses (Care Compare)

1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8087

14600 Saint Stephens Ave
Chatom, AL 36518-6711
Phone (251) 847-2223

4250 Woodbine Rd
Pace, FL 32571-8703
Phone (850) 626-7762

Hospital & facility affiliations

  • Santa Rosa Medical Center Hospital, Milton, FL, CCN 100124
  • Washington County Hospital Hospital, Chatom, AL, CCN 011300
  • Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38180ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pensacola Emergency Physicians, LLC Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Tampa Bay Emergency Physicians-Heartland LLC Emergency Medicine CurrentSince Mar 29, 2023 Accepting new patients
Houston County Healthcare Authority Emergency Medicine Current Accepting new patients
Pensacola Emergency Physicians, LLC Emergency Medicine Current Accepting new patients
Medcore Associates, PLLC Current Accepting new patients
Alteon Health Alabama, LLC Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Baptist Physician Associates LLC CurrentSince Sep 28, 2020 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Sep 22, 2025 Accepting new patients
Pathology Laboratory Associates Current Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Jul 22, 2019 Accepting new patients
Santa Rosa HB Medical Services LLC Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
Houston County Healthcare Authority CurrentSince Apr 20, 2023 Accepting new patients
Baptist Physician Associates LLC PastSince Nov 8, 2020 Accepting new patients

Locations

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

8888 Navarre Pkwy
Navarre, FL 32566
Phone (850) 437-8800

8888 Navarre Pkwy
Ste 106
Navarre, FL 32566
Phone (850) 908-8888

4250 Woodbine Rd
Pace, FL 32571
Phone (850) 626-7761

9400 University Pkwy
Ste 101A
Pensacola, FL 32514
Phone (850) 208-6130

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 14

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.

View all 14

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1043673833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 BANQUOS TRL",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325035837",
            "telephone_number": "205-657-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 14TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014040",
            "telephone_number": "601-553-6000",
            "fax_number": "601-553-6144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6002 Berryhill Rd",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "FL",
            "postal_code": "325705062",
            "country_code": "US",
            "telephone_number": "850-626-7762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-984-5582",
            "fax_number": "601-984-5583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOCKLEY",
        "first_name": "JAMES",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "25482",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "38180",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME140457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.