Active NPI
James Mark Shockley, M.D.
- Emergency Medicine Physician
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 38180
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Alabama School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Washington County Hospital
- Southeast Health Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38180 | AL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pensacola Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Tampa Bay Emergency Physicians-Heartland LLC | Emergency Medicine | Current | 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 | Current | Accepting new patients |
| Baptist Physician Associates LLC | Current | Accepting new patients | |
| Correct Care, Inc. | Emergency Medicine | Current | Accepting new patients |
| Pathology Laboratory Associates | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
| Santa Rosa HB Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Baptist Physician Associates LLC | Past | 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
- 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.
-
- Internal Medicine Physician
- Enterprise, AL
- NPI 1619026606
-
- Emergency Medicine Physician
- Milton, FL
- NPI 1982384988
-
- Emergency Medicine Physician
- Talladega, AL
- NPI 1477708857
-
- Urgent Care Clinic/Center
- Navarre, FL
- NPI 1235128646
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Emergency Medicine Physician
- Pensacola, FL
- NPI 1801841473
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1043661408
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1285783134
Emergency Medicine
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1538597349
-
- Anatomic Pathology & Clinical Pathology Physician
- Dothan, AL
- NPI 1992524607
-
- Anatomic Pathology & Clinical Pathology Physician
- Dothan, AL
- NPI 1134190648
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milton, FL
- NPI 1528015302
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
-
- Critical Access Hospital
- Chatom, AL
- NPI 1487699203
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.