Jacky Shannon, M.D.
Jacky Shannon, M.D. is a Critical Care Medicine (Anesthesiology) Physician in Lubbock, TX, registered under NPI 1265510218. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 3601 4TH ST, Lubbock, TX 79430. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| L8505 | TX | Anesthesiology Physician |
| L8505 | TX | Critical Care Medicine (Anesthesiology)… primary |
This provider holds licence L8505 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Critical Care (intensivists)
- PAC ID
- 6608967682
- Enrollment ID
- I20070806000251
Medicare enrolment is recorded as approved under the provider type Practitioner - Critical Care (intensivists). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Critical Care Medicine covers
An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. NUCC Health Care Provider Taxonomy, code 207LC0200X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207L00000X | Anesthesiology Physician | L8505 | TX | |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician Critical Care Medicine | L8505 | TX | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1265510218 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Nov 1, 2006 |
| Last updated | Nov 30, 2012 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Male |
| Credential | M.D. |
| Practice address |
3601 4TH ST Lubbock, TX 79430 (806) 743-2981 |
| Mailing address |
5004 CR 1435 Lubbock, TX 79407 |
| Other identifiers |
L8505
· Other (TX) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 6 | 5 | 5 | 1 | 0 | 2 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 3 | 5 | 1 | 1 | 0 | 2 | 2 |
Sum = 42 · next multiple of 10 = 50 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.