SONYA ROCHELLE SHIPLEY M.D.
NPI 1699937680
Family Medicine in Jackson, MS

Active since June 30, 2008PECOS Enrolled
2500 N STATE ST, DEPT OF FAMILY MEDICINE, JACKSON, MS 39216(601) 815-4778(601) 984-5420 Get Directions Write a Review

NPPES record last updated: March 1, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Sonya Rochelle Shipley M.d. NPPES

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

SONYA ROCHELLE SHIPLEY M.D. (NPI 1699937680) is an individual family medicine provider in Jackson, Mississippi, licensed in Mississippi (20879) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699937680
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSONYA ROCHELLE SHIPLEYCredential: M.D.
Location Address2500 N STATE ST, DEPT OF FAMILY MEDICINEJackson, MS 39216-4500
Mailing Address2500 N State St, Dept Of Family MedicineJackson, MS 39216-4500 · (601) 815-4778 · Fax (601) 984-5420
Fax(601) 984-5420
Sole ProprietorNo
Enumeration DateJune 30, 2008
Last NPPES UpdateMarch 1, 2016
✔ NPI 1699937680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MS · 20879✔ Licensed in TN · 48525
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2500 N STATE ST, Jackson, MS 39216

Other Names 1

Other Name (5)Sonya Rochelle Clemmons Md

Other Identifiers 3

Medicare PIN328823YJ5DMS
OtherP01402396MS · Rr Medicare
Medicaid06435092MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sonya Rochelle Shipley M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Sonya Shipley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
2500 N STATE ST
Jackson, MS 39216
  • Reassigned Medicare billing, Mississippi enrollment
  • 1,932 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216

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 Sonya Shipley's NPI number?

The NPI number for Sonya Shipley is 1699937680. It was assigned to this individual provider in the NPPES registry on June 30, 2008. The provider is also known as Sonya Rochelle Clemmons MD.

Where is Sonya Shipley located?

Sonya Shipley practices at 2500 N State St Dept Of Family Medicine, Jackson, MS 39216. The listed phone number is (601) 815-4778.

What is Sonya Shipley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sonya Shipley enrolled in Medicare?

Yes. Sonya Shipley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sonya Shipley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonya Shipley reassigns Medicare benefits to State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sonya Shipley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sonya Shipley was last updated on March 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.