Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

David Shrock, PA-C

Physician Assistant in Jackson, MS · enumerated 2016.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104288679

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Registry record

Entity type Individual (Type 1)

Name David Shrock

Credential PA-C

Sex Male

Practice address 971 Lakeland Dr Ste 356, Jackson, MS, 39216

Phone (601) 200-4644

Fax (601) 200-4645

Enumeration date Mar 24, 2016

Last updated in NPPES Feb 9, 2024

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 1234567890 (VA) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA00333 (MS) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1104288679 active?

Yes, as of the latest NPPES snapshot, NPI 1104288679 is active (record last updated 2024-02-09).

How do I verify David Shrock's NPI record?

Cross-check NPI 1104288679 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-09.