James B Shackson, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35-062208 Issued in OH

Practice address

21 E State St
Columbus, OH 43215-4281

Phone

(574) 546-1900

Fax

(574) 546-1999

NPI assigned

Sep 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 9

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH, IN, KY, TN, MI, TX, PA, KS, MO9 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 9

Specialty

Psychiatry

Education

Northeastern Ohio University College of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guidestar Eldercare Corp - KSGroup PAC ID 9638665904, 13 clinicians

Guidestar Eldercare Corp -OhGroup PAC ID 9739504523, 43 clinicians

Guidestar Eldercare - TN, PCGroup PAC ID 8527413517, 20 clinicians

Guidestar Eldercare Neuro-Psychiatric Group - Texas PAGroup PAC ID 1951705730, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

95.04

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

92.91 of 100Reported as group

Quality

79.89

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 39)

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.

• Guidestar Eldercare Corp -Oh

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1962023424

  OH, Psychiatry

  Medicare reassignment Care Compare group NPD
• Guidestar Eldercare - TN, P.C.

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1023791449

  TN

  Medicare reassignment Care Compare group NPD
• Guidestar Eldercare Corp - KS

  • Internal Medicine Physician
  • Columbia, MO
  • NPI 1275484099

  MO, Psychiatry

  Medicare reassignment Care Compare group NPD
• Guidestar Eldercare Corp - KS

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1356203806

  KS, Psychiatry

  Medicare reassignment Care Compare group NPD
• Guidestar Eldercare Neuro-Psychiatric Group - Texas PA

  • Internal Medicine Physician
  • Garland, TX
  • NPI 1588233233

  TX

  Medicare reassignment Care Compare group NPD
• Lee Side Wellness Associates, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mason, OH
  • NPI 1841731510

  OH

  Medicare reassignment NPD
• Guidestar Eldercare - PA

  • Internal Medicine Physician
  • Altoona, PA
  • NPI 1265311021

  PA, Psychiatry

  Medicare reassignment NPD
• Neurology and Pain Management Associates PC

  • Internal Medicine Physician
  • Crown Point, IN
  • NPI 1518900620

  IN, KY, MI

  Medicare reassignment NPD
• James Shackson MD

  • Geriatric Psychiatry Physician
  • Cincinnati, OH
  • NPI 1962565408
  NPD (past) Authorized official
• Edwin R. Larson, MD, Inc.

  • Specialist
  • Cincinnati, OH
  • NPI 1033481486
  NPD (past)
• Tekaho,Inc

  • Skilled Nursing Facility
  • Cincinnati, OH
  • NPI 1124161203
  NPD (past)
• Trihealth Physician Institute

  • Surgery Physician
  • Cincinnati, OH
  • NPI 1508124280
  NPD (past)

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1831185545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11167",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468561167",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E STATE ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154281",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9378 S Mason Montgomery Rd",
            "address_2": "#323",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "OH",
            "postal_code": "450408827",
            "country_code": "US",
            "telephone_number": "513-382-5112",
            "fax_number": "513-489-0730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Greenfield Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481201805",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 N Main St # 304",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463071877",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 E Pleasant Valley Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "166025512",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 S 4th St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023046",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12345 W 95th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662153853",
            "country_code": "US",
            "telephone_number": "574-546-1900 x61900",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Poplar Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381193974",
            "country_code": "US",
            "telephone_number": "574-546-1999",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHACKSON",
        "first_name": "JAMES",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01045038A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD487198C",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-52327",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-062208",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "67932",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "V4066",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2026005587",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "EMC0005754",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "C1406",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF6496",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0934725",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Ashley Sforza, CNP, FNP-C
• Adam Sgriccia
• Adnan Shaaban, MD
• Ahmad Shabsigh, MD
• Brittany S. Shackelford, QMHS, ABS
• Ali Shadchehr
• Ali J. Shadchehr, D.O
• Leslie Shade, RPH
• Melinda Christine Shade, BSW, LSW
• Tria Ann Shadeed, NURSE PRACTITIONER N

• All providers in Columbus, OH
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.