CMS-1500 Box 24J / 33a • NPI
1891536405
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2471M1202X
Licensed & Credentialed Radiologic Technologist, Magnetic Resonance Imaging
Box 32 Service Location & ZIP+4
1500 E WOODROW WILSON AVE, JACKSON, MS, 39216-5116
✓ 9-Digit EDI 837 ZIP+4 (39216-5116)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1891536405 (MICHAEL SHANE BARNES, RT(R))CT)(MR)) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1891536405 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MICHAEL SHANE BARNES, RT(R))CT)(MR) |
| Plain-English Specialty | Licensed & Credentialed Radiologic Technologist, Magnetic Resonance Imaging NUCC Code: 2471M1202X (Radiologic Technologist, Magnetic Resonance Imaging) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1500 E WOODROW WILSON AVE, JACKSON, MS, 39216-5116 |
| Practice Telephone / Fax | Tel: (601) 362-4471 |
| Administrative Mailing Address | 412 ROCKY POINT RD, CARTHAGE, MS, 39051-8033 |
| Enumeration & Last Sync | Enumerated: 2024-06-06 | CMS Record Updated: 2024-06-06 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (2471M1202X)
What Does Taxonomy Code 2471M1202X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2471M1202X translates to:
"Licensed & Credentialed Radiologic Technologist, Magnetic Resonance Imaging"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MICHAEL SHANE BARNES, RT(R))CT)(MR))
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2085R0202X — Radiology, Diagnostic RadiologyPlain English: Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist) | State: MS | License: MRT-2012 | Primary: Secondary |
247100000X — Radiologic TechnologistPlain English: Licensed & Credentialed Radiologic Technologist | State: N/A | License: Verified | Primary: Secondary |
2471C3401X — Radiologic Technologist, Computed TomographyPlain English: Licensed & Credentialed Radiologic Technologist, Computed Tomography | State: N/A | License: Verified | Primary: Secondary |
2471M1202X — Radiologic Technologist, Magnetic Resonance ImagingPlain English: Licensed & Credentialed Radiologic Technologist, Magnetic Resonance Imaging | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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