Active NPI
Shannon Perry
- Social Worker
- Batesville, MS
National Provider Identifier
1235528316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 156 Highway 51 N
Batesville, MS 38606-2348 - Phone
- (662) 712-6257
- Fax
- (662) 578-2500
- NPI assigned
- Jan 13, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
156 Highway 51 N
Batesville, MS 38606-2348
Mailing address
860 E River PL Ste 100
Jackson, MS 39202-3442
Phone (769) 251-5550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi Behavioral Health Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Jackson, MS
- NPI 1396196879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1235528316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 E RIVER PL STE 100",
"city": "JACKSON",
"state": "MS",
"postal_code": "392023442",
"telephone_number": "769-251-5550",
"fax_number": "769-251-5590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 HIGHWAY 51 N",
"city": "BATESVILLE",
"state": "MS",
"postal_code": "386062348",
"telephone_number": "662-712-6257",
"fax_number": "662-578-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "SHANNON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-13",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Batesville, MS
- Panola Speech Therapy, LLC
- Donald Hudson Parnell Jr., MD
- Peter John Pattridge Jr., PHARM.D
- Bobbie Fay Payne, P T
- Lacy Perry
- Physician and Surgeons Hospital Group
- Physicians and Surgeons Hospital Group
- Physicians and Surgeons Hospital Group
- Physicians and Surgeons Hospital Group
- Physicians and Surgeons Hospital Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.