DR. JACKY DWAYNE SHANNON M.D.
NPI 1265510218
Anesthesiology - Critical Care Medicine in Lubbock, TX

Q: What is Jacky Shannon's NPI number?

The NPI number for Jacky Shannon is 1265510218. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Jacky Shannon's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

Q: When was this NPI record last updated?

The NPPES record for Jacky Shannon was last updated on November 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment

3601 4TH ST, LUBBOCK, TX 79430(806) 743-2981 Get Directions Write a Review

NPPES record last updated: November 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jacky Dwayne Shannon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACKY DWAYNE SHANNON M.D. (NPI 1265510218) is an individual critical care medicine provider in Lubbock, Texas, licensed in Texas (L8505) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2002).

NPPES Registry Identity

NPI1265510218

Entity TypeIndividualMale

Primary Taxonomy207LC0200X

Provider Legal NameDR. JACKY DWAYNE SHANNONCredential: M.D.

Location Address3601 4TH STLubbock, TX 79430-0002

Mailing Address5004 Cr 1435Lubbock, TX 79407 · (806) 702-4776

Phone(806) 743-2981

Sole ProprietorYes

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2002

Enumeration DateNovember 1, 2006

Last NPPES UpdateNovember 30, 2012

✔ NPI 1265510218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LC0200X

License✔ Licensed in TX · L8505

Definition

An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedAnesthesiologyTaxonomy 207L00000X · License L8505 (TX)

3601 4TH ST, Lubbock, TX 79430

Open in Google Maps ↗

Other Identifiers 1

OtherL8505TX · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacky Dwayne Shannon M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608967682

PECOS Enrollment IDI20070806000251

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

141 services68 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

130 services81 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

126 services79 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

39 services33 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

26 services26 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450040

Location3615 19th StreetLubbock, TX 79410 · Lubbock County

Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES STEVEN DEMBOWSKI PHD

Speech-Language Pathologist

3601 4TH ST, STE. 2A300
LUBBOCK, TX 79430

Lubbock County (806) 743-5678

CHARLES KIM D.O.

Anesthesiology

3601 4TH ST
LUBBOCK, TX 79430

Lubbock County (806) 743-3004

BAILEY WADDINGTON MD

Student in an Organized Health Care Education/Training Program

3601 4TH ST
LUBBOCK, TX 79430

Lubbock County (806) 743-6840

SARA SYED AHMED MD

Psychiatry & Neurology (Psychiatry)

3601 4TH ST
LUBBOCK, TX 79430

Lubbock County (806) 743-2800

DR. SAFAA S. LABIB M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

3601 4TH ST, SUITE 1A115
LUBBOCK, TX 79430

Lubbock County (806) 743-2155

MATTHEW PAUL FERGUSON M.D.

Orthopaedic Surgery (Sports Medicine)

3601 4TH ST
LUBBOCK, TX 79430

Lubbock County (806) 743-2475

KORY NOEL HOWELL DO

Student in an Organized Health Care Education/Training Program

3601 4TH ST
LUBBOCK, TX 79430

Lubbock County (806) 743-3381

JANICE STACHOWIAK M.D.

Internal Medicine

3601 4TH ST
LUBBOCK, TX 79430

Lubbock County (806) 743-3150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacky Shannon's NPI number?

The NPI number for Jacky Shannon is 1265510218. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Jacky Shannon located?

Jacky Shannon practices at 3601 4th St, Lubbock, TX 79430. The listed phone number is (806) 743-2981.

What is Jacky Shannon's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

Is Jacky Shannon enrolled in Medicare?

Yes. Jacky Shannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacky Shannon accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Jacky Shannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacky Shannon affiliated with any hospitals?

According to CMS data, Jacky Shannon is affiliated with Covenant Medical Center.

When was this NPI record last updated?

The NPPES record for Jacky Shannon was last updated on November 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.