Active NPI
Shannon Burke, D.O.
- Pulmonary Disease Physician
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 4804
- Practice address
- 587 Skyline Dr
Jackson, TN 38301-3938 - Phone
- (731) 422-7900
- Fax
- (731) 599-4246
- NPI assigned
- May 6, 2016
- Last updated
- Aug 24, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 4804 | TN | |
| Pulmonary Disease Physician | 207RP1001X | 4804 | TN | Primary |
Addresses
Primary practice location
587 Skyline Dr
Jackson, TN 38301-3938
Mailing address
257 Bancorp South Pkwy
Jackson, TN 38305-7582
Phone (731) 660-7971
Other practice location 1
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 257-8000
Other practice location 2
SLUCare Center for Specialized Medicine
1225 South Grand Boulevard
Saint Louis, MO 63104
Phone (314) 977-6109
Other names 1
- Shannon Price
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Kansas City University of Physicians and Surgeons, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
587 Skyline Dr
Jackson, TN 38301-3938
Phone (731) 422-7900
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000
Hospital & facility affiliations
- Jackson-Madison County General Hospital
- Volunteer Community Hospital
- Dyersburg Regional Medical Center
- West Tennessee Healthcare Milan Hospital
- West Tennessee Healthcare Henry County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.74 of 100
- Quality
- 85.23
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4804 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Tennessee Medical Group Inc | Multi-Specialty | Current | Accepting new patients |
| West Tennessee Healthcare Hospitalists Inc | Multi-Specialty | Current | Accepting new patients |
| Jackson Surgical Associates. PA | Multi-Specialty | Past | Accepting new patients |
Locations
257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283
587 Skyline Dr
Jackson, TN 38301
Phone (731) 421-6510
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
Interoperability endpoints
- sburke26643@directepic.wth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1053615955
Multi-Specialty
-
- Hospitalist Physician
- Jackson, TN
- NPI 1720635188
Multi-Specialty
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Dyersburg Employee Pharmacy
- Community/Retail Pharmacy
- Dyersburg, TN
- NPI 1043282338
Hospital
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
-
dba West Tennessee Healthcare Volunteer Hospital
- General Acute Care Hospital
- Martin, TN
- NPI 1275505372
-
dba West Tennessee Healthcare Milan Hospital
- General Acute Care Hospital
- Milan, TN
- NPI 1699765453
-
dba West Tennessee Healthcare County Hospital
- General Acute Care Hospital
- Paris, TN
- NPI 1497750244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1245686401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 BANCORP SOUTH PKWY",
"city": "JACKSON",
"state": "TN",
"postal_code": "383057582",
"telephone_number": "731-660-7971",
"fax_number": "731-660-8739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "587 SKYLINE DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013938",
"telephone_number": "731-422-7900",
"fax_number": "731-599-4246"
}
],
"practiceLocations": [
{
"address_1": "1201 S Grand Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631041016",
"country_code": "US",
"telephone_number": "314-257-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "SLUCare Center for Specialized Medicine",
"address_2": "1225 South Grand Boulevard",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "63104",
"country_code": "US",
"telephone_number": "314-977-6109",
"fax_number": "314-977-6164",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKE",
"first_name": "SHANNON",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-06",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TN",
"license": "4804",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TN",
"license": "4804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "PRICE",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.