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

Dr. Jacky Dwayne Shannon, MD

Individual provider Anesthesiology Physician · NPI 1265510218

Dr. Jacky Dwayne Shannon, MD is a Critical Care (Intensivists) in Lubbock, Texas. Graduated from Texas Tech University Health Science Center School of Medicine in 2002, 24 years ago. Practices with Covenant Medical Group, a 227-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
24
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3601 4th St
Lubbock, TX 79430-0002
Phone: (806) 743-2981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Anesthesiology) Physician (primary) Taxonomy 207LC0200X · Licence L8505 (TX)
Anesthesiology Physician Taxonomy 207L00000X · Licence L8505 (TX)

Record details

NPI number1265510218
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 1, 2006
Last updated in NPPESNovember 30, 2012

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesANESTHESIOLOGY
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Covenant Medical Group — 227 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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