IndividualActive
Shannon Bouchillon
NPI 1831082304 · Adult Medicine Physician · Southaven, MS
Shannon Bouchillon is a Adult Medicine Physician provider in Southaven, MS (NPI 1831082304).
Provider details
- NPI number
- 1831082304
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 907150 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
6376 Silo Square Ln Ste 104
Southaven, MS 38672-1115
Phone: (662) 470-7812
Approximate (ZIP-level) locationGet directions
Mailing address
6376 Silo Square Ln Ste 104
Southaven, MS 38672-1115
Registry dates
- Enumerated
- 2025-06-02
- Last updated
- 2025-06-02
- Certified
- 2025-06-02
Frequently asked questions
- What is Shannon Bouchillon's NPI number?
- Shannon Bouchillon's National Provider Identifier (NPI) is 1831082304, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Bouchillon's specialty?
- Shannon Bouchillon is listed in the NPPES registry with a primary specialty of Adult Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shannon Bouchillon located?
- Shannon Bouchillon's practice location on file with NPPES is 6376 Silo Square Ln Ste 104, Southaven, MS 38672-1115.
- What is Shannon Bouchillon's phone number?
- The practice phone number listed in the NPPES registry for Shannon Bouchillon is (662) 470-7812.
- Is Shannon Bouchillon's NPI active?
- Yes — Shannon Bouchillon's NPI (1831082304) is active in the NPPES registry as of the last update on 2025-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.