Individual provider Active NPI

Sabrina Brown Matthews, NP-C

  • Family Nurse Practitioner
  • Greenwood, MS
National Provider Identifier
1043662430
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901596 Issued in MS
Practice address
1401 River Rd
Greenwood, MS 38930-4030
Phone
(662) 459-7000
NPI assigned
Jul 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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 901596 MS Primary

Addresses

Primary practice location

1401 River Rd
Greenwood, MS 38930-4030

Mailing address

PO Box 1410
Greenwood, MS 38935-1410

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160913000669 MS Practitioner - Nurse Practitioner 7416953047 Reassigns benefits to 3 organizations

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
Tyler Holmes Memorial HospitalGroup PAC ID 0345142618, 10 clinicians

Practice addresses (Care Compare)

502 George St
Tyler Holmes Carrollton Clinic
North Carrollton, MS 38947
Phone (662) 939-1574

Hospital & facility affiliations

  • Tyler Holmes Memorial Hospital Cah Hospital, Winona, MS, CCN 251312

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
901596MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunder Jagwani MD PA Current Accepting new patients
Tyler Holmes Memorial Hospital CurrentSince Feb 22, 2023 Accepting new patients
Central Mississippi Radiology Current Accepting new patients
Ridgeland Medical Clinic CurrentSince Jan 21, 2022 Accepting new patients
Tyler Holmes Memorial Hospital Family CurrentSince Feb 22, 2023 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Dec 16, 2017 Accepting new patients
Greenwood Leflore Hospital PastSince Sep 1, 2013 Accepting new patients
R3 Wellness and Infusion, LLC Family PastSince Sep 3, 2025 Accepting new patients

Locations

1401 River Rd
Greenwood, MS 38930
Phone (662) 459-2603

587 Highway 51
Ste T
Ridgeland, MS 39157
Phone (601) 790-7711

409 Tyler Holmes Dr
Winona, MS 38967
Phone (662) 283-3060

700 Woodland Dr
Winona, MS 38967
Phone (662) 283-3060

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1043662430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1410",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389351410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 RIVER RD",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304030",
            "telephone_number": "662-459-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "SABRINA",
        "middle_name": "BROWN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

Verify at the official NPI Registry.