SHAWN B. JACKSON M,D, – NPI #1730258708
Pathology

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Health Care Provider Taxonomy Code for Pathology

SHAWN JACKSON is a pathologist located in SPRINGFIELD, MO. NPPES has assigned the NPI number 1730258708 to SHAWN JACKSON on November 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ZP0102X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Anatomic Pathology & Clinical Pathology

The NPI profile was last updated on Jan 02, 2026. 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 SHAWN JACKSON below.

NPI Profile for
SHAWN B. JACKSON

NPI Number
1730258708
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SHAWN B. JACKSON
Credentials
M,D,
Primary location
1000 E PRIMROSE ST STE 550
SPRINGFIELD, MO 65807-5180
Phone: (417) 269-4646 Fax:
3 Other location(s):
3302 Gerig Dr Ste 100
Bloomington, IL 61704-6343
Phone: (309) 533-7070
Fax: (855) 710-6552
1587 N Bolton Ave Ste 1300
Alexandria, LA 71303-4255
Phone: (318) 933-3376
Fax: (318) 933-3377
1230 E Kingsley St Ste A&b
Springfield, MO 65804-7211
Phone: (417) 336-0033
Fax: (855) 710-6552
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jan 02, 2026

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.

Identifiers

Identifiers for SHAWN JACKSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherBLUECROSSBLUESHIELD-PATHOMO1559
otherBLUECROSSBLUESHIELD-TRI-LMO159012
otherFED TAX ID-PATHOLOGY SERVMO431451388
otherFED TAX ID-TRI-LAKES PATHMO421539307
otherUNITED HEALTHCAREMO1101160
medicaidMO705866705
medicaidMO700100407
Taxonomy Code(s)

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
207ZP0102X
- Pathology / Anatomic Pathology & Clinical Pathology (Primary)		 MO 2005005716
207ZD0900X
- Pathology / Dermatopathology		 MO 2005005716

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.

Additional Information

Education
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, AURORA - Graduated 1998
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SHAWN JACKSON is affiliated with the following medical group(s):
  • HOSPITAL
    • COX BARTON COUNTY HOSPITAL
      29 NW 1ST LANE
      LAMAR, MO 64759
    • COX MEDICAL CENTER BRANSON
      525 BRANSON LANDING BLVD, PO BOX 650
      BRANSON, MO 65615
    • COX MEDICAL CENTERS
      3801 SOUTH NATIONAL AVENUE
      SPRINGFIELD, MO 65807
    • COX MONETT HOSPITAL
      1000 E US HIGHWAY 60
      MONETT, MO 65708

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.