Shanna Pettie, M.D.
NPI 1093978918 · Internal Medicine Physician · Jackson, MS
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shanna Pettie, M.D. is a Internal Medicine Physician provider in Jackson, MS (NPI 1093978918).
Provider details
- NPI number
- 1093978918
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Military Health Care Provider171000000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 106 Lake Vista PlBrandon, MS 39047-6384Phone: (601) 919-2924Fax: (601) 992-7347
- 971 Lakeland DrSuite 250Jackson, MS 39216-4643Phone: (601) 200-4860Fax: (601) 200-4887
Registry dates
- Enumerated
- 2008-07-10
- Last updated
- 2025-07-15
- Certified
- 2025-07-15
Frequently asked questions
- What is Shanna Pettie's NPI number?
- Shanna Pettie's National Provider Identifier (NPI) is 1093978918, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shanna Pettie's specialty?
- Shanna Pettie is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shanna Pettie located?
- Shanna Pettie's practice location on file with NPPES is 911 Ellis Ave, Jackson, MS 39209-6256.
- What is Shanna Pettie's phone number?
- The practice phone number listed in the NPPES registry for Shanna Pettie is (601) 533-7016.
- Does Shanna Pettie accept Medicare?
- Shanna Pettie is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shanna Pettie's NPI active?
- Yes — Shanna Pettie's NPI (1093978918) is active in the NPPES registry as of the last update on 2025-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.