DR. JAMES MARK SHOCKLEY (M.D.) – Emergency Medicine Physician, NPI 1043673833

DR. JAMES MARK SHOCKLEY (M.D.) is a healthcare provider. based in Jackson, Mississippi. specializing in EMERGENCY MEDICINE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 25482 (MS). The NPI Number for DR. JAMES MARK SHOCKLEY (M.D.) is 1043673833

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES MARK SHOCKLEY (M.D.)
NPI
1043673833
Phone
(601) 984-5582
Address
2500 N State St
Enumeration Date
30 March 2016
Last Update Date
2 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
8506267762
Graduation Year
2016 (10 years ago)
PAC ID
2668766627
Group Practice PAC ID
4284089335
Professional Enrollment ID
I20190819002901
Address ID
FL325718703PA4250XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:10State licenses:3Digital endpointsOther names

586 EMERGENCY MEDICINE in MS

Provider Addresses for DR. JAMES MARK SHOCKLEY (M.D.)

  • 2500 N State St

    Jackson, MS 392164500

    Phone: (601) 984-5582

    Fax: (601) 984-5583

    Type: Location

  • 6002 Berryhill Rd

    Milton, FL 325705062

    Phone: (850) 626-7762

    Type: Location

  • 2000 BANQUOS TRL

    PENSACOLA, FL 325035837

    Phone: (205) 657-4741

    Type: Mailing

  • Corporate Boulevard, Lafayette, Lafayette Parish, Louisiana, 70502, United States

    LAFAYETTE, LA 705083870

    Phone: (800) 893-9698

    Type: Mailing

  • New Era Baptist Church, 2124, 14th Street, Meridian, Lauderdale County, Mississippi, 39302, United States

    MERIDIAN, MS 393014040

    Phone: (601) 553-6000

    Fax: (601) 553-6144

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190819002901IEmergency MedicineFLTBD
I20230609001083IEmergency MedicineALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making164164$0
99284Emergency department visit with moderate level of medical decision making9392$0
99283Emergency department visit with low level of medical decision making2727$0
99291Critical care, first 30-74 minutes2625$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1212$0
View full utilization report →

Insurance plans in this area (ZIP 39216)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284089335View full group profile
NameSpecialtyState
Physician AssistantNY
Internal MedicineAL
Emergency Medicine, Family PracticeOH
Nurse PractitionerVA
Emergency MedicineFL
Internal Medicine, Emergency MedicineMS
Emergency MedicineNJ
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

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Frequently asked questions

What is DR. JAMES MARK SHOCKLEY (M.D.)'s NPI number?
DR. JAMES MARK SHOCKLEY (M.D.)'s NPI is 1043673833 — the number used across U.S. healthcare to identify this provider.
Is DR. JAMES MARK SHOCKLEY (M.D.) still an active registrant?
DR. JAMES MARK SHOCKLEY (M.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. JAMES MARK SHOCKLEY (M.D.)?
At a glance, DR. JAMES MARK SHOCKLEY (M.D.) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. JAMES MARK SHOCKLEY (M.D.) associated with Jackson?
Public fields place DR. JAMES MARK SHOCKLEY (M.D.) around Jackson, Mississippi. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. JAMES MARK SHOCKLEY (M.D.) is noted as March 30, 2016 where the registry provides it.