David M Shackelford, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

15386 Issued in TN

Practice address

1224 Trotwood Ave
Columbia, TN 38401-4802

Phone

(844) 295-4871

NPI assigned

Jan 2, 2006

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN, FL, TX, AZ, ND5 enrollments

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 5

Specialty

Diagnostic Radiology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanford ClinicGroup PAC ID 4385882976, 57 clinicians

Southern Radiology Associates PLLCGroup PAC ID 7214913649, 41 clinicians

ER Physician Group at Jackson HospitalGroup PAC ID 8729059472, 153 clinicians

Spring Hill Imaging Center, LLCGroup PAC ID 3577666536, 16 clinicians

Peterson Medical AssociatesGroup PAC ID 1355467887, 192 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Maury Regional Hospital Hospital, Columbia, TN, CCN 440073
• Marshall Medical Center Hospital, Lewisburg, TN, CCN 441309
• Sanford Medical Center Fargo Hospital, Fargo, ND, CCN 350011
• Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007
• Jackson Hospital Hospital, Marianna, FL, CCN 100142

Merit-based Incentive Payment System (MIPS)

Final score

97.31 of 100Reported as group

Quality

94.63

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

91.58 of 100Reported as group

Quality

83.16

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Southern Radiology Associates, PLLC

  • Diagnostic Radiology Physician
  • Columbia, TN
  • NPI 1467460725
  Medicare reassignment Care Compare group NPD
• Spring Hill Imaging Center LLC

  • Radiology Clinic/Center
  • Spring Hill, TN
  • NPI 1073692158
  Medicare reassignment Care Compare group NPD
• ER Physician Group at Jackson Hospital

  • General Practice Physician
  • Marianna, FL
  • NPI 1407801194
  Medicare reassignment Care Compare group NPD
• Peterson Medical Associates

  • Obstetrics & Gynecology Physician
  • Kerrville, TX
  • NPI 1770800575
  Medicare reassignment Care Compare group NPD
• Sanford Clinic

  dba Sanford Virtual Health Services

  • Diagnostic Radiology Physician
  • Fargo, ND
  • NPI 1306641345

  TN

  Medicare reassignment Care Compare group NPD
• Mt Graham Regional Medical Center Inc

  • Critical Access Hospital
  • Safford, AZ
  • NPI 1275588345
  Medicare reassignment NPD
• Carolina Radiology Associates LLC

  • Diagnostic Radiology Physician
  • Conway, SC
  • NPI 1225014657
  NPD (past)
• Charleston Radiologists PA

  • Diagnostic Radiology Physician
  • Mount Pleasant, SC
  • NPI 1811000177
  NPD (past)
• Mt Graham Regional Medical Center Inc

  • Home Health Agency
  • Safford, AZ
  • NPI 1659337848
  NPD (past)
• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049
  NPD (past)

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

• Maury Regional Hospital

  dba Lewis Ambulatory Care Center

  • Clinic/Center
  • Hohenwald, TN
  • NPI 1023038122

  Hospital

  Care Compare affiliation
• Maury Regional Hospital

  dba Maury Regional Medical Center

  • General Acute Care Hospital
  • Columbia, TN
  • NPI 1861479545
  Care Compare affiliation
• Maury Regional Hospital Marshall Medical Center

  dba Marshall Medical Center

  • Critical Access Hospital
  • Lewisburg, TN
  • NPI 1578591756
  Care Compare affiliation
• Jackson County Hospital District

  • General Acute Care Hospital
  • Marianna, FL
  • NPI 1538108725
  Care Compare affiliation
• Sanford Health of Northern Minnesota

  dba Sanford Bemidji

  • Ambulatory Surgical Clinic/Center
  • Bemidji, MN
  • NPI 1093876922

  Hospital

  Care Compare affiliation
• Sanford Medical Center Fargo

  dba Sanford 1717 Medical Building

  • Family Medicine Physician
  • West Fargo, ND
  • NPI 1184917924

  Hospital

  Care Compare affiliation
• Sanford Medical Center Fargo

  dba Sanford Physical Therapy

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1245519081
  Care Compare affiliation
• Sanford Medical Center Fargo

  dba Sanford POWER Center

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1528009412
  Care Compare affiliation
• Sanford Medical Center Fargo

  • Air Ambulance
  • Fargo, ND
  • NPI 1942415468

  Hospital

  Care Compare affiliation
• Sid Peterson Memorial Hospital

  dba Peterson Regional Medical Center

  • Rural Acute Care Hospital
  • Kerrville, TX
  • NPI 1790782704
  Care Compare affiliation

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

{
    "created_epoch": "1136160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1578541439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063239",
            "telephone_number": "844-295-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 TROTWOOD AVE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014802",
            "telephone_number": "844-295-4871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5421 Main St",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "TN",
            "postal_code": "371744410",
            "country_code": "US",
            "telephone_number": "615-577-4057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4250 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324461917",
            "country_code": "US",
            "telephone_number": "850-526-2200",
            "fax_number": "850-718-2844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 Pease St",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785508307",
            "country_code": "US",
            "telephone_number": "956-389-6565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHACKELFORD",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-02",
        "last_updated": "2026-09-22",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME176297",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "W0470",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "15386",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "22806",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "20169",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3050164",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300039095",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "87131",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dshackelford@sratn.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health information service provider",
            "address_1": "5421 Main St",
            "city": "Spring Hill",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371744410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeannie Auville Seaborn
• Mark Andrew Seago, MD
• Daniel Mark Seeley, RN
• Gyeong W Seo
• Martin Lawrence Serene, FNP-BC
• Rachna Shah, PT
• Darrell Wayne Sharp, M.A.
• James Austin Sharp
• Carol Shaw, BS
• Dotri Shaw

• Diagnostic Radiology Physician in Columbia, TN
• Providers in Columbia, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.