NPIMap

Individual provider Active NPI

Sierra Cain, NP-C

  • Family Nurse Practitioner
  • Philadelphia, MS
National Provider Identifier
1063017093
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902898 Issued in MS
Practice address
562 Line St S Ste 1
Philadelphia, MS 39350-2144
Phone
(601) 504-6430
NPI assigned
Nov 30, 2020
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 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 902898 MS Primary

Addresses

Primary practice location

562 Line St S Ste 1
Philadelphia, MS 39350-2144

Mailing address

562 Line St S Ste 1
Philadelphia, MS 39350-2144
Phone (601) 504-6430

Other identifiers 1

IdentifierTypeStateIssuer
01805219MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210217002258 MS Practitioner - Nurse Practitioner 0446665863 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laird Hospital, Inc.Group PAC ID 7214991769, 30 clinicians

Practice addresses (Care Compare)

24345 Hwy 15
Union, MS 39365-8575
Phone (601) 774-8211

317 Hwy 13 S
Morton, MS 39117-3353
Phone (601) 732-6301

321 Hwy 13 S
Morton, MS 39117-3353
Phone (601) 732-8612

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neshoba County General Hospital CurrentSince May 3, 2023 Accepting new patients
Neshoba County General Hospital CurrentSince May 3, 2023 Accepting new patients
Neshoba County General Hospital Current Accepting new patients
Kemper Cah, Inc CurrentSince Oct 1, 2023 Accepting new patients
Kemper Cah, Inc. Current Accepting new patients
Laird Hospital, Inc. CurrentSince Sep 26, 2023 Accepting new patients
Scott Regional Medical Center, Inc Family Current Accepting new patients
Scott Regional Medical Center, Inc. Family CurrentSince Sep 26, 2023 Accepting new patients
Line Street Medical Clinic Current Accepting new patients
Laird Hospital, Inc. Current Accepting new patients
Laird Hospital, Inc. Family CurrentSince Sep 26, 2023 Accepting new patients
Kemper Cah, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Scott Regional Medical Center, Inc. Family CurrentSince Sep 26, 2023 Accepting new patients

Locations

9097 Collinsville Rd
Collinsville, MS 39325
Phone (601) 626-8874

14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000

30 Ponderosa Ave
De Kalb, MS 39328
Phone (601) 743-4565

24489 Highway 80
Lake, MS 39092
Phone (601) 775-3264

317 Highway 13 S
Morton, MS 39117
Phone (601) 732-6301

1001 Holland Ave
Philadelphia, MS 39350
Phone (601) 663-1200

1106 Central Dr
Philadelphia, MS 39350
Phone (601) 650-9664

24345 Highway 15
Union, MS 39365
Phone (601) 774-8211

25117 Highway 15
Union, MS 39365
Phone (601) 774-8214

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1063017093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 LINE ST S STE 1",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502144",
            "telephone_number": "601-504-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 LINE ST S STE 1",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502144",
            "telephone_number": "601-504-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "SIERRA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01805219",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, MS

Sources for this page

Verify at the official NPI Registry.