Shanna B. Pettie, M.D.
Internal Medicine Physician · Jackson, MS
Shanna B. Pettie, M.D. is an internal medicine physician with a practice address in Jackson, Mississippi, and NPI 1093978918, issued on Jul 10, 2008. Check the license (Mississippi 23730, as entered in NPPES) on the Mississippi State Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Shanna B. Pettie
- Credential
- M.D.
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- 23730 MS
Self-reported in NPPES; status is on the state search - Practice location
- 911 Ellis Ave, Jackson, MS 39209
- Phone
- (601) 533-7016
- Enumerated
- Jul 10, 2008
- Record last updated
- Jul 15, 2025
- Medicare enrollment
- Enrolled (PECOS I20150805007147); accepts Medicare assignment
- Medical or professional school
- Wayne State University School Of Medicine, 2008
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 972 in Mississippi → Look up another NPI →
Also registered at 911 Ellis Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jazmine Collins, FNP-CFamily Nurse Practitioner1659755429
- April Green, NPNurse Practitioner1194076836
- Caroline Green, FNP-CFamily Nurse Practitioner1578020822
- Joseph Hunter, MDFamily Medicine Physician1467459149
- Bob HutchinsInternal Medicine Physician1033150263
- Wayne Johnson, M.D.Family Medicine Physician1225087588
Verify Shanna B. Pettie in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMississippi State Board of Medical Licensure
Search for license 23730Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Oak Street Health Physicians Group OF Mississippi, LLCJackson, MS
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shanna B. Pettie among 972 internal medicine physician records in Mississippi
Shanna B. Pettie, M.D. is one of 972 internal medicine physician records with a practice address in Mississippi. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 43% of them.
- NPI issued2008 · 43% of these records are older, 55% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 60% of these records are
- Graduated2008 · median 2008 among the 585 with a school on file
- Record last updated2025 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
328 internal medicine physician records list a practice address in Jackson
They are 328 of the 6,997 NPPES records with a practice address in Jackson, and 972 internal medicine physician records in Mississippi.
All 972 in Mississippi → Every provider in Jackson → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Bob HutchinsJackson, MS 392091033150263
- Nikesia Beamon-Webb, M.D.Pearl, MS 392081760621254
- David Flemming, MDPearl, MS 392081093726739
- Lucius Sams, MDPearl, MS 392081003838699
- Joseph Blackston, MDJackson, MS 392111194834747
- Natalie Brookins-Reddix, M.D.Jackson, MS 392111720094196
- Larry Collins, MDJackson, MS 392111164491924
- Marvin Jeter, M.D.Jackson, MS 392111235397423
Common questions
What is Shanna B. Pettie, M.D.'s NPI number?
Shanna B. Pettie, M.D.'s National Provider Identifier (NPI) is 1093978918, issued on Jul 10, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Shanna B. Pettie, M.D. located?
The NPPES record lists a practice address at 911 Ellis Ave, Jackson, MS, 39209. Phone: (601) 533-7016. Providers update this record themselves, so call before visiting.
How can I verify Shanna B. Pettie, M.D.'s license?
NPPES lists Mississippi license number 23730, as entered by the provider. Search the Mississippi State Board of Medical Licensure at https://www.msbml.ms.gov/. 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.