Individual provider Active NPI

John Haskel Snuggs, M.D.

  • Psychiatry Physician
  • San Angelo, TX
National Provider Identifier
1053421461
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
J8779 Issued in TX
Practice address
421 W Concho Ave
San Angelo, TX 76903-6310
Phone
(325) 224-4900
Fax
(325) 224-4949
NPI assigned
Aug 30, 2006
Last updated
Jul 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X J8779 TX Primary

Addresses

Primary practice location

421 W Concho Ave
San Angelo, TX 76903-6310

Mailing address

421 W Concho Ave
San Angelo, TX 76903-6310
Phone (325) 224-4900

Other identifiers 2

IdentifierTypeStateIssuer
200596820OtherTAX IDENTIFICATION NUMBER
J8779OtherTXMEDICAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040510001214 TX Practitioner - Psychiatry 9133118649 Reassigns benefits to 1 organization
Practice locations: San Angelo, TX

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Texas a & M University System, HSC, College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians

Practice addresses (Care Compare)

3555 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone (325) 747-1511

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Clinic CurrentSince Mar 1, 2025 Accepting new patients
Greater Heights LLC PastSince Jul 17, 2021 Accepting new patients

Locations

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

3555 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 224-5411

Interoperability endpoints

  • Direct secure messaging: jsnuggs71988@shannonhealth.direct-ci.com

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1053421461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W CONCHO AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036310",
            "telephone_number": "325-224-4900",
            "fax_number": "325-224-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W CONCHO AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036310",
            "telephone_number": "325-224-4900",
            "fax_number": "325-224-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNUGGS",
        "first_name": "JOHN",
        "middle_name": "HASKEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J8779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "200596820",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "J8779",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.