JOHN SHAUGHNESSY III
NPI 1871024489
Surgery - Vascular Surgery in Jackson, MS

Q: What is John Shaughnessy's NPI number?

The NPI number for John Shaughnessy is 1871024489. It was assigned to this individual provider in the NPPES registry on March 24, 2017.

Q: What is John Shaughnessy's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for John Shaughnessy was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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 March 24, 2017PECOS EnrolledAccepts Medicare Assignment

971 LAKELAND DR STE 1250, JACKSON, MS 39216(601) 200-2000(601) 200-5939 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2024, Dec 23, 2024, Sep 11, 2024 and 2 more (5 updates tracked since 2017).

On this page

About John Shaughnessy Iii NPPES

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

JOHN SHAUGHNESSY III (NPI 1871024489) is an individual vascular surgery provider in Jackson, Mississippi, licensed in Mississippi (33327) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Tufts Medical Center, and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1871024489

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameJOHN SHAUGHNESSY III

Location Address971 LAKELAND DR STE 1250Jackson, MS 39216-4609

Mailing Address504 Clinton Center Drive, Cbo - Suite 4300Clinton, MS 39056-5106 · (601) 815-2005 · Fax (601) 984-5110

Phone(601) 200-2000

Fax(601) 200-5939

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 24, 2017

Last NPPES UpdateDecember 31, 20245 updates tracked since enumeration

NPPES CertifiedDecember 31, 2024

✔ NPI 1871024489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in MS · 33327

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License 33327 (MS)

971 LAKELAND DR STE 1250, Jackson, MS 39216

Open in Google Maps ↗

Secondary Practice Location 1

Location 12500 N State StJackson, MS 39216-4500 · Phone (601) 815-2005 · Fax (601) 984-5110

Accepted Insurance

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

John Shaughnessy Iii 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 ID6709213721

PECOS Enrollment IDI20240924004740, I20250610002514

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.

Hospital Affiliations CMS Care Compare 3

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

Tufts Medical Center

Acute Care Hospitals · Boston, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220116

Location800 Washington StreetBoston, MA 02111 · Suffolk County

Emergency services Birthing friendly

University Of Mississippi Med Center

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number250001

Location2500 N State StJackson, MS 39216 · Hinds County

Emergency services Birthing friendly

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number250048

Location969 Lakeland DrJackson, MS 39216 · Hinds County

Emergency services Birthing friendly

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

$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.

Other Providers at the Same Location NPPES 16

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

DR. JOHN ADRIAN LANCON M.D.

Neurological Surgery