Active NPI
Jennifer C Sanders, FNP-BC
- Family Nurse Practitioner
- Southaven, MS
National Provider Identifier
1043633696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R817657
- Practice address
- 5221 Getwell Rd Ste a
Southaven, MS 38671-1054 - Phone
- (662) 469-5758
- Fax
- (662) 214-6248
- NPI assigned
- Jan 31, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R817657 | MS | Primary |
Addresses
Primary practice location
5221 Getwell Rd Ste a
Southaven, MS 38671-1054
Mailing address
5221 Getwell Rd Ste a
Southaven, MS 38671-1054
Phone (662) 469-5758
Other practice location 1
5480 Goodman Rd Ste 1
Olive Branch, MS 38654-7902
Phone (662) 874-6507
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05102521 | Medicaid | MS | |
| Q044388 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140408000682 | MS | Practitioner - Nurse Practitioner | 2668604554 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5480 Goodman Rd
Suite 1
Olive Branch, MS 38654-7902
Phone (662) 874-6507
Hospital & facility affiliations
- Accentcare Home Health of Greenwood
- Vitalcaring Group
- Methodist Healthcare - Olive Branch Hospital
- Methodist Hospitals of Memphis
- Baptist Memorial Hospital Desoto
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R817657 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Group LLC | Family | Current | Accepting new patients |
| Getwell Internal Medicine LLC | Past | Accepting new patients |
Locations
124 W Commerce St
Hernando, MS 38632
Phone (662) 429-5221
5480 Goodman Rd
Ste 1
Olive Branch, MS 38654
Phone (662) 874-6507
7163 Goodman Rd
Olive Branch, MS 38654
Phone (662) 874-6507
7235 Hacks Cross Rd
Olive Branch, MS 38654
Phone (662) 893-7878
1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954
Interoperability endpoints
- jsanders27845@mlh.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Southaven, MS
- NPI 1124917869
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
Hospital
-
- General Acute Care Hospital
- Olive Branch, MS
- NPI 1912341439
Hospital
-
- Home Health Agency
- Greenwood, MS
- NPI 1235270588
-
- Home Health Agency
- Cleveland, MS
- NPI 1215244017
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1043633696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5221 GETWELL RD STE A",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386711054",
"telephone_number": "662-469-5758",
"fax_number": "662-214-6248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5221 GETWELL RD STE A",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386711054",
"telephone_number": "662-469-5758",
"fax_number": "662-214-6248"
}
],
"practiceLocations": [
{
"address_1": "5480 Goodman Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Olive Branch",
"state": "MS",
"postal_code": "386547902",
"country_code": "US",
"telephone_number": "662-874-6507",
"fax_number": "662-932-8197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDERS",
"first_name": "JENNIFER",
"middle_name": "C",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-31",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R817657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05102521",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q044388",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.