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

Mr. Michael Shane Barnes, RTRCTMR

Individual provider Diagnostic Radiology Physician · NPI 1891536405

Mr. Michael Shane Barnes, RTRCTMR is a Diagnostic Radiology Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2024.

Licensed in
MS
In the registry since
2024
Specialties on file
4

Practice location Address checks out

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone: (601) 362-4471
Show map & directions

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

Specialties & licences

Magnetic Resonance Imaging Radiologic Technologist (primary) Taxonomy 2471M1202X
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MRT-2012 (MS)
Radiologic Technologist Taxonomy 247100000X
Computed Tomography Radiologic Technologist Taxonomy 2471C3401X

Record details

NPI number1891536405
Entity typeIndividual (Type 1)
GenderMale
Credentials RTRCTMR
Sole proprietorNo
NPI enumeratedJune 6, 2024
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024

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