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

Shaniece A Craft

Individual provider Surgery Physician · NPI 1215592498

Shaniece A Craft is a General Surgery in Jackson, Tennessee. Qualified in 2019, 7 years ago. Practices with West Tennessee Medical Group Inc, a 190-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2019
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Practice location Address checks out

620 Skyline Dr
Jackson, TN 38301-3923
Phone: (731) 541-5000
Fax: (731) 664-0057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 569 Skyline Dr, Jackson, TN 38301-3911 — (731) 664-7395

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 71720 (TN)

Record details

NPI number1215592498
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 3, 2019
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024
Mailing address720 Westview Dr Sw, Atlanta, GA 30310-1458

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice West Tennessee Medical Group Inc — 190 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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