Active NPI
Neil Thomas Shannon, MD
- Diagnostic Radiology Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35.155817
- Practice address
- 3188 Bellevue Ave
Cincinnati, OH 45219-2369 - Phone
- (513) 558-6089
- NPI assigned
- Mar 31, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35.155817 | OH | Primary |
| Internal Medicine Physician | 207R00000X | 1447838339 | MS |
Addresses
Primary practice location
3188 Bellevue Ave
Cincinnati, OH 45219-2369
Mailing address
3200 Burnet Ave
Cincinnati, OH 45229-3019
Other practice location 1
2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS, AR, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Mississippi School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-1020
7600 Wolf River Blvd
Suite 200
Germantown, TN 38138-1788
Phone (901) 747-1000
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (901) 383-9478
Hospital & facility affiliations
- Baptist Memorial Hospital Jonesboro, Inc.
- Baptist Memorial Hospital-Crittenden, Inc
- Arkansas Methodist Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1447838339 | MS | MD | Internal Medicine Physician |
| 35.155817 | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-South Imaging & Therapeutics, P.a. | Diagnostic Radiology | Current | Accepting new patients |
Locations
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
7715 Wolf River Blvd
Memphis, TN 38138
Phone (901) 328-6031
7600 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 747-1000
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
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.
-
- Diagnostic Radiology Physician
- Germantown, TN
- NPI 1043260763
AR, MS
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paragould, AR
- NPI 1437222312
-
- General Acute Care Hospital
- West Memphis, AR
- NPI 1437634524
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1386699353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1447838339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 BURNET AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3188 BELLEVUE AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192369",
"telephone_number": "513-558-6089"
}
],
"practiceLocations": [
{
"address_1": "2500 N State St",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392164500",
"country_code": "US",
"telephone_number": "601-984-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHANNON",
"first_name": "NEIL",
"middle_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-31",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35.155817",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "1447838339",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.