DR. SHANNON DOBBS (DO) – Emergency Medicine Physician, NPI 1295099455

DR. SHANNON DOBBS (DO) is a healthcare provider. based in Ackerman, Mississippi. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. DO.1681 (AL). The NPI Number for DR. SHANNON DOBBS (DO) is 1295099455

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANNON DOBBS (DO)
NPI
1295099455
Phone
(662) 285-9460
Address
8613 MS Highway 12
Enumeration Date
2 July 2012
Last Update Date
22 January 2021

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6622859460
Graduation Year
2011 (15 years ago)
PAC ID
5395966121
Group Practice PAC ID
2567682206
Professional Enrollment ID
I20141021000806
Address ID
MS397358917AC8613X12XX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

587 EMERGENCY MEDICINE in MS

Provider Addresses for DR. SHANNON DOBBS (DO)

  • 8613 MS Highway 12

    Ackerman, MS 397358917

    Phone: (662) 285-9460

    Type: Location

  • 110 WHITNEY CIR

    VINCENT, AL 351789464

    Phone:

    Type: Mailing

  • 8613 MS HIGHWAY 12

    ACKERMAN, MS 397358917

    Phone: (662) 285-4400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-03-02 • Largest payer in this snapshot: ABBVIE INC. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$16
View all Open Payments →|Open Payments Risk Radar →

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: 2020-01-29

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
I20141021000806IEmergency MedicineMSTBD
I20200129002946IEmergency 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 39735)

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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: 2567682206View full group profile
NameSpecialtyState
Family PracticeMS
Family Practice, Emergency MedicineMS
Emergency MedicineMS
-MS
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS
Family PracticeMS
Nurse PractitionerMS
Nurse PractitionerMS

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check DR. SHANNON DOBBS (DO) using NPI 1295099455?
NPI 1295099455 belongs to DR. SHANNON DOBBS (DO); compare other details if you need extra assurance.
Active or inactive — what applies to DR. SHANNON DOBBS (DO)?
You should see DR. SHANNON DOBBS (DO) as active in CMS-hosted NPPES data.
What kind of doctor is DR. SHANNON DOBBS (DO)?
DR. SHANNON DOBBS (DO) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. SHANNON DOBBS (DO) associated with Ackerman?
Public fields place DR. SHANNON DOBBS (DO) around Ackerman, Mississippi. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. SHANNON DOBBS (DO) is noted as July 2, 2012 where the registry provides it.

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