DR. SHANNON P PATTERSON DMD
NPI 1417043407
Dentist - General Practice in Brookhaven, MS

Q: What is Shannon Patterson's NPI number?

The NPI number for Shannon Patterson is 1417043407. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Shannon Patterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Patterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 October 05, 2006PECOS Enrolled

615 HIGHWAY 51 S, BROOKHAVEN, MS 39601(601) 833-0746(601) 833-0894 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Shannon P Patterson Dmd NPPES

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

DR. SHANNON P PATTERSON DMD (NPI 1417043407) is an individual general practice provider in Brookhaven, Mississippi, licensed in Mississippi (2957-96) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417043407

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SHANNON P PATTERSONCredential: DMD

Location Address615 HIGHWAY 51 SBrookhaven, MS 39601-3724

Mailing Address615 Highway 51 SBrookhaven, MS 39601-3724 · (601) 833-0746 · Fax (601) 833-0894

Phone(601) 833-0746

Fax(601) 833-0894

Sole ProprietorNo

Enumeration DateOctober 5, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417043407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MS · 2957-96

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

615 HIGHWAY 51 S, Brookhaven, MS 39601

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shannon P Patterson Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Shannon Patterson's NPI number?

The NPI number for Shannon Patterson is 1417043407. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Shannon Patterson located?

Shannon Patterson practices at 615 Highway 51 S, Brookhaven, MS 39601. The listed phone number is (601) 833-0746.

What is Shannon Patterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Shannon Patterson enrolled in Medicare?

Yes. Shannon Patterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Patterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.