Individual provider Active NPI

Shannon Palmer Jones, MD

  • Pediatrics Physician
  • Starkville, MS
National Provider Identifier
1467199836
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35005 Issued in MS
Practice address
5 Professional PLZ
Starkville, MS 39759-1900
Phone
(662) 323-0999
Fax
(662) 338-1191
NPI assigned
May 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35005 MS Primary

Addresses

Primary practice location

5 Professional PLZ
Starkville, MS 39759-1900

Mailing address

5 Professional PLZ
Starkville, MS 39759-1900
Phone (662) 323-0999

Other names 1

  • Shannon Palmer Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220629000621 TN Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3678953288

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35005MSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Starkville Pediatric Clinic Pediatrics CurrentSince Aug 17, 2025 Accepting new patients
Baptist Memorial Hosp Oktibbeha County Inc. Past Accepting new patients
Oktibbeha County Hospital Past Accepting new patients

Locations

5 Professional Plz
Starkville, MS 39759
Phone (662) 323-0999

Interoperability endpoints

  • Direct secure messaging: shannon.jones.1@30066.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1467199836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PROFESSIONAL PLZ",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397591900",
            "telephone_number": "662-323-0999",
            "fax_number": "662-338-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PROFESSIONAL PLZ",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397591900",
            "telephone_number": "662-323-0999",
            "fax_number": "662-338-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHANNON",
        "middle_name": "PALMER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "35005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "PALMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.