Shannon Kellum, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

904206 Issued in MS

Practice address

1301 Veterans Memorial Blvd
Eupora, MS 39744-2064

Phone

(662) 258-7200

NPI assigned

Nov 18, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cain Clinic of EuporaGroup PAC ID 3274770938, 3 clinicians

Webster Health Services IncGroup PAC ID 6901892421, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Webster General Hospital/ Swing Bed Hospital, Eupora, MS, CCN 250020

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20757/brand/3/csg/22/fhir/r4
• Direct secure messaging: shannon.mccain.1@20757.direct.athenahealth.com
• Direct secure messaging: shannonmccain@nmhs.medalliesdirect.net

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.

• Cain Clinic of Eupora

  • Family Medicine Physician
  • Eupora, MS
  • NPI 1205180882
  Medicare reassignment Care Compare group NPD
• Webster Health Services, Inc.

  • General Acute Care Hospital
  • Eupora, MS
  • NPI 1982719621
  Medicare reassignment Care Compare group NPD
• Relias Emergency Medicine Specialists of Amory, LLC

  • Emergency Medicine Physician
  • Amory, MS
  • NPI 1265074769
  Medicare reassignment NPD
• Relias Emergency Medicine Specialists of Tupelo LLC

  • Emergency Medicine Physician
  • Tupelo, MS
  • NPI 1841664661
  Medicare reassignment NPD
• Relias Emergency Medicine Specialists of West Point, LLC

  • Emergency Medicine Physician
  • West Point, MS
  • NPI 1275172736
  Medicare reassignment NPD
• Relias Hospitalist Medicine Specialists of Pontotoc LLC

  • Hospitalist Physician
  • Pontotoc, MS
  • NPI 1972189330
  Medicare reassignment NPD
• Relias Hospitalist Medicine Specialists of West Point LLC

  • Hospitalist Physician
  • West Point, MS
  • NPI 1821638578
  Medicare reassignment NPD
• RH Emergency Medicine of Och Regional LLC

  • Emergency Medicine Physician
  • Starkville, MS
  • NPI 1093532889
  Medicare reassignment NPD
• North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1376969683
  NPD
• Webster Health Services, Inc.

  • Emergency Care Clinic/Center
  • Eupora, MS
  • NPI 1578668828
  NPD
• Webster Health Services, Inc.

  • Family Medicine Physician
  • Eupora, MS
  • NPI 1821881913
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Webster Health Services, Inc.

  • General Acute Care Hospital
  • Eupora, MS
  • NPI 1982719621
  Care Compare affiliation

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1568065027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 TURNER RD",
            "city": "MABEN",
            "state": "MS",
            "postal_code": "397509141",
            "telephone_number": "662-418-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 VETERANS MEMORIAL BLVD",
            "city": "EUPORA",
            "state": "MS",
            "postal_code": "397442064",
            "telephone_number": "662-258-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLUM",
        "first_name": "SHANNON",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "904206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hometown Physical Therapy LLC
• David Hopkins
• Brian Hubbard, PHARM.D.
• Jewell Jackson Huffman III, M.D.
• In Motion Orthotics, LLC
• Angeline Collins Knight, PHARMD
• Alexis Lee
• Altus Harvey Leslie, D.M.D.
• Crystal Lester
• James Logan Jr.

• Acute Care Nurse Practitioner in Eupora, MS
• Providers in Eupora, MS by specialty
• Acute Care Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.

Verify at the official NPI Registry.