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

Dr. Shanna B Pettie, MD

Individual provider Military Health Care Provider · NPI 1093978918

Dr. Shanna B Pettie, MD is an Internal Medicine in Jackson, Mississippi. Graduated from Wayne State University School of Medicine in 2008, 18 years ago. Practices with Oak Street Health Physicians Group of Mississippi, LLC, a 16-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
18
Trained at
Wayne State University School of Medicine
Licensed in
MS
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

911 Ellis Ave
Jackson, MS 39209-6256
Phone: (601) 533-7016
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 106 Lake Vista Pl, Brandon, MS 39047-6384 — (601) 919-2924
  • 971 Lakeland Dr, Jackson, MS 39216-4643 — (601) 200-4860

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 23730 (MS)
Military Health Care Provider Taxonomy 171000000X

Record details

NPI number1093978918
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2008
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Oak Street Health Physicians Group Of Mississippi, Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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