JOHN SHAUGHNESSY III
NPI 1871024489
Surgery - Vascular Surgery in Jackson, MS
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 University Of Mississippi Med Center, and maintains a secondary practice location in Jackson.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show John Shaughnessy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 136 clinicians in this Medicare group
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Boston, MA 02111
- Reassigned Medicare billing, Massachusetts enrollment
- 133 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Mississippi Med Center
Acute Care Hospitals · Jackson, MSSt Dominic-Jackson Memorial Hospital
Acute Care Hospitals · Jackson, MSPhysician 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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39216
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 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.
Where is John Shaughnessy located?
John Shaughnessy practices at 971 Lakeland Dr Ste 1250, Jackson, MS 39216. The listed phone number is (601) 200-2000.
What is John Shaughnessy's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is John Shaughnessy enrolled in Medicare?
Yes. John Shaughnessy 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.
Which organizations bill Medicare for John Shaughnessy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Shaughnessy reassigns Medicare benefits to 3 organizations: St. Dominic Medical Associates LLC (Jackson, MS), State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS) and Cardiovascular Center At Tufts Medical Center, Inc. (Boston, MA). Each 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 John Shaughnessy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Shaughnessy accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list John Shaughnessy 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 John Shaughnessy affiliated with any hospitals?
According to CMS data, John Shaughnessy is affiliated with University Of Mississippi Med Center and St Dominic-Jackson Memorial Hospital.
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 22 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.
# John Shaughnessy III · NPI 1871024489
Vascular Surgery physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since March 24, 2017.
## Identity
- **NPI:** 1871024489 (Entity type: Individual)
- **Enumerated:** March 24, 2017
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **State license:** 33327 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 971 LAKELAND DR STE 1250, Jackson, MS 39216-4609
- **Phone:** (601) 200-2000 · **Fax:** (601) 200-5939
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): St. Dominic Medical Associates LLC (NPI 1902374085, Jackson, MS); State Of Mississippi - University Of Mississippi Medical Center (NPI 1477734689, Jackson, MS); Cardiovascular Center At Tufts Medical Center, Inc. (NPI 1447764253, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** December 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1871024489) · Data from the CMS NPPES public registry.