Individual provider Active NPI

Sherlean D Shugars, NP

  • Family Nurse Practitioner
  • Southaven, MS
National Provider Identifier
1013507599
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F12200121 Issued in MS
Practice address
2149 Stateline Rd W
Southaven, MS 38671-1222
Phone
(662) 342-1112
NPI assigned
Jan 19, 2021
Last updated
Jan 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F12200121 MS Primary

Addresses

Primary practice location

2149 Stateline Rd W
Southaven, MS 38671-1222

Mailing address

2149 Stateline Rd W
Southaven, MS 38671-1222
Phone (662) 342-1112

Other practice location 1

2149 Stateline Rd W
Southaven, MS 38671-1222
Phone (662) 342-1112

Other practice location 2

2149 Stateline Rd W
Southaven, MS 38671-1222
Phone (662) 342-1112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251203004418 TN Practitioner - Nurse Practitioner 6204220213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHCG Clxii, LLCGroup PAC ID 1951715952, 3 clinicians

Practice addresses (Care Compare)

8000 Centerview Pkwy
Suite 405
Cordova, TN 38018-4227
Phone (901) 343-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
29411TNMDPharmacist
F12200121MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LHCG Clxii, LLC CurrentSince Oct 19, 2025 Accepting new patients
Midsouth Medicine CurrentSince Jan 24, 2021 Accepting new patients
LHCG Cxxxii, LLC PastSince Oct 19, 2025 Accepting new patients
Stonebridge Medical Group, PLC PastSince Jan 24, 2021 Accepting new patients

Locations

2149 Stateline Rd W
Southaven, MS 38671
Phone (662) 342-1112

8000 Centerview Pkwy
Ste 405
Cordova, TN 38018
Phone (901) 343-8100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCEIBA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1013507599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 STATELINE RD W",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711222",
            "telephone_number": "662-342-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 STATELINE RD W",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711222",
            "telephone_number": "662-342-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2149 Stateline Rd W",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386711222",
            "country_code": "US",
            "telephone_number": "662-342-1112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2149 Stateline Rd W",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386711222",
            "country_code": "US",
            "telephone_number": "662-342-1112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUGARS",
        "first_name": "SHERLEAN",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "F12200121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.