SHANNON G. BOUCHILLON – NPI #1831082304
Family Medicine
The NUCC recommends this code not be used. Choose a more appropriate code.
SHANNON BOUCHILLON is a physician located in SOUTHAVEN, MS. NPPES has assigned the NPI number 1831082304 to SHANNON BOUCHILLON on June 02, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine
Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHANNON BOUCHILLON below.
NPI Profile for
SHANNON G. BOUCHILLON
(about a year ago)
SOUTHAVEN, MS 38672-1115 Phone: (662) 470-7812 Fax:
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207QA0505X - Family Medicine / Adult Medicine (Primary) |
MS | 907150 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.