Jacky Dwayne Shannon, M.D.
Critical Care Medicine (Anesthesiology) Physician · Lubbock, TX
Jacky Dwayne Shannon, M.D. is a critical care medicine (anesthesiology) physician with a practice address in Lubbock, Texas, and NPI 1265510218, issued on Nov 1, 2006. Check the license (Texas L8505, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.
- Name
- Jacky Dwayne Shannon
- Credential
- M.D.
- Primary taxonomy
- Critical Care Medicine (Anesthesiology) Physician 207LC0200X
- License number
- L8505 TX
Self-reported in NPPES; status is on the state search - Practice location
- 3601 4TH St, Lubbock, TX 79430
- Phone
- (806) 743-2981
- Enumerated
- Nov 1, 2006
- Record last updated
- Nov 30, 2012 (not updated in 14 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20070806000251); accepts Medicare assignment
- Medical or professional school
- Texas Tech University Health Science Center School Of Medicine, 2002
- Entity
- Type 1 · individual
8 nearest critical care medicine (anesthesiology) physician records → All 54 in Texas → Look up another NPI →
Also registered at 3601 4TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Fatima AbedStudent in an Organized Health Care Education/Training Program1043006737
- Fatma Aboulnasr, MDPediatrics Physician1588287346
- Gabriella Acosta, MDFamily Medicine Physician1376282905
- Jacob Adams, MDStudent in an Organized Health Care Education/Training Program1669315131
- Carine AfiadataStudent in an Organized Health Care Education/Training Program1689465502
- Mario Aguayo, CRNACertified Registered Nurse Anesthetist1457603920
Verify Jacky Dwayne Shannon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTexas Medical Board
Search for license L8505Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $778.97
26 payments; by number, the most common kind was food and beverage; the largest payer was Abiomed. The 394 providers of this specialty with any payment received $2,001.81 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Covenant Medical GroupLubbock, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jacky Dwayne Shannon among 54 critical care medicine (anesthesiology) physician records in Texas
Jacky Dwayne Shannon, M.D. is one of 54 critical care medicine (anesthesiology) physician records with a practice address in Texas. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 7% of them.
- NPI issued2006 · 7% of these records are older, 52% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 74% of these records are
- Graduated2002 · median 2004 among the 40 with a school on file
- Record last updated2012 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207LC0200X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Critical Care Medicine (Anesthesiology) Physician providers in Texas
There are 54 critical care medicine (anesthesiology) physician records in Texas.
All 54 in Texas → Every provider in Lubbock → Critical Care Medicine (Anesthesiology) Physician nationwide →
The 8 critical care medicine (anesthesiology) physician records with the nearest ZIP codes
- Abdallah Dalabih, M.D.Corpus Christi, TX 784111346475498
- Mary Peterson, M.D.Corpus Christi, TX 784111255543468
- Kurt Grathwohl, M.D.Fort Sam Houston, TX 782341285624205
- Christopher Maani, M.D.Fort Sam Houston, TX 782341508835406
- Rajnikant Patel, M.DFort Sam Houston, TX 782341003807728
- Cameron Harrison, M.D.San Antonio, TX 782291184155673
- Nancy SatsangiSan Antonio, TX 782291861889180
- Steven Venticinque, M.D.San Antonio, TX 782291619953080
Common questions
What is Jacky Dwayne Shannon, M.D.'s NPI number?
Jacky Dwayne Shannon, M.D.'s National Provider Identifier (NPI) is 1265510218, issued on Nov 1, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jacky Dwayne Shannon, M.D. located?
The NPPES record lists a practice address at 3601 4TH St, Lubbock, TX, 79430. Phone: (806) 743-2981. Providers update this record themselves, so call before visiting.
How can I verify Jacky Dwayne Shannon, M.D.'s license?
NPPES lists Texas license number L8505, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.