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

Jason Lee Shives, MD

Individual provider Emergency Medicine Physician · NPI 1083942338

Jason Lee Shives, MD is a Family Practice in Purvis, Mississippi. Graduated from Loma Linda University School of Medicine in 2007, 19 years ago. Practices with Rh Hospitalist Medicine of Walthall General LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Florida, Mississippi and Pennsylvania.

Years since qualifying
19
Trained at
Loma Linda University School of Medicine
Licensed in
FL, MS, PA
In the registry since
2009
Specialties on file
4
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

102 Shelby Speights Dr
Purvis, MS 39475-4151
Phone: (601) 794-8065
Fax: (601) 794-5650
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 21360 (MS)
Emergency Medicine Physician Taxonomy 207P00000X · Licence ME102839 (FL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD470029 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083942338
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 25, 2009
Last updated in NPPESNovember 3, 2021
Certification dateNovember 3, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Rh Hospitalist Medicine Of Walthall General Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare