Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Shrock, PA-C

Individual provider Medical Physician Assistant · NPI 1104288679

David Shrock, PA-C is a Physician Assistant in Jackson, Mississippi. Qualified in 2015, 11 years ago. Practices with Rh Mississippi Hospitalist Medicine LLC, a 75-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi and Virginia.

Years since qualifying
11
Licensed in
MS, VA
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

971 Lakeland Dr Ste 356
Jackson, MS 39216-4607
Phone: (601) 200-4644
Fax: (601) 200-4645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1906 Belleview Ave Se, Roanoke, VA 24014-1838 — (540) 981-7000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00333 (MS)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1234567890 (VA)

Record details

NPI number1104288679
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 24, 2016
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 9, 2024
Mailing address5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Rh Mississippi Hospitalist Medicine Llc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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