Shawn Barrett Jackson, M,D,
Shawn Barrett Jackson is a Anatomic Pathology & Clinical Pathology Physician provider (Pathology) practicing in Springfield, MO, registered in the NPPES registry with NPI 1730258708 since 2006. Practices at Pathology Services of Springfield, P.C. (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1730258708 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Shawn Barrett Jackson |
| Credential | M,D, |
| Sex | Male |
| Practice address | 1000 E PRIMROSE ST STE 550, Springfield, MO, 65807 |
| Phone | 4172694646 |
| Enumeration date | 2006-11-06 |
| Last updated in NPPES | 2026-01-02 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | Primary | 2005005716 | MO |
| 207ZD0900X | Dermatopathology (Pathology) Physician | Secondary | 2005005716 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700100407 | Medicaid | MO | — |
| 1101160 | Other | MO | UNITED HEALTHCARE |
| 421539307 | Other | MO | FED TAX ID-TRI-LAKES PATH |
| 1559 | Other | MO | BLUECROSSBLUESHIELD-PATHO |
| 431451388 | Other | MO | FED TAX ID-PATHOLOGY SERV |
| 159012 | Other | MO | BLUECROSSBLUESHIELD-TRI-L |
| 705866705 | Medicaid | MO | — |
Copy-ready billing details
Provider: Shawn Jackson, M,D, NPI: 1730258708 Taxonomy: 207ZP0102X (Anatomic Pathology & Clinical Pathology Physician) Address: 1000 E PRIMROSE ST STE 550, Springfield, MO, 65807
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1497824460 | Maryam Mohammadkhani | Individual | Anatomic Pathology & Clinical Pathology Physician | Springfield, MO |
| 1780753814 | Gregory Haake | Individual | Anatomic Pathology & Clinical Pathology Physician | Springfield, MO |
| 1831268044 | David Smid | Individual | Anatomic Pathology & Clinical Pathology Physician | Springfield, MO |
| 1891864864 | Jami Skrade | Individual | Anatomic Pathology & Clinical Pathology Physician | Springfield, MO |
| 1043389760 | James Shelley | Individual | Anatomic Pathology & Clinical Pathology Physician | Springfield, MO |
| 1437228152 | Paul Koontz | Individual | Anatomic Pathology & Clinical Pathology Physician | Springfield, MO |
| 1801935879 | Pathology Services of Springfield, P.C. | Organization | Clinical Medical Laboratory | Springfield, MO |
| 1306172341 | Lacey Winchester | Individual | Anatomic Pathology & Clinical Pathology Physician | Springfield, MO |
Verify this record
Cross-check NPI 1730258708 against the authoritative CMS record: view Shawn Barrett Jackson on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is the NPI number for Shawn Jackson?
Where does Shawn Jackson practice?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2026-01-02.