Active NPI
Sharon Elaine Ezell, NP
- Family Nurse Practitioner
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 15918
- Practice address
- 2500 N State St
Jackson, MS 39216-4500 - Phone
- (601) 815-6886
- NPI assigned
- Nov 11, 2011
- 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 | 15918 | TN | Primary |
Addresses
Primary practice location
2500 N State St
Jackson, MS 39216-4500
Mailing address
350 W Woodrow Wilson Ave Ste 1600
Jackson, MS 39213-7627
Phone (601) 815-6886
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528749 | Medicaid | TN | |
| 1063799583 | Medicaid | MO | |
| 09013434 | Medicaid | MS | |
| 212345758 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
350 W Woodrow Wilson Dr
Cancer Institute
Jackson, MS 39213
Phone (601) 815-2005
Hospital & facility affiliations
- University of Mississippi Med Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 67.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15918 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Health Network LLC | Nurse Practitioner | Current | Accepting new patients |
| Wound Management Specialists, LLC | Nurse Practitioner | Current | Accepting new patients |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Healthcare Plus Limited Liability Company | Nurse Practitioner | Current | Accepting new patients |
| Winston Medical Clinic LLC | Past | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
2781 C T Switzer SR Dr
Ste 100
Biloxi, MS 39531
Phone (228) 207-8632
504 Clinton Center Dr
Ste 4300
Clinton, MS 39056
778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620
350 W Woodrow Wilson Ave
Jackson, MS 39213
Phone (601) 364-2666
1190 N State St
Ste 2A
Jackson, MS 39202
Phone (601) 292-4292
232 Market St
Jackson, MS 39232
Phone (588) 498-6767
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
350 W Woodrow Wilson Ave
Ste 600
Jackson, MS 39213
Phone (601) 815-6700
350 W Woodrow Wilson Ave
Ste 1600
Jackson, MS 39213
Phone (601) 815-6869
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Nurse Practitioner
- Flowood, MS
- NPI 1972150084
-
- Specialist
- Metairie, LA
- NPI 1063927465
MS, Nurse Practitioner
-
- Internal Medicine Physician
- New Orleans, LA
- NPI 1922293372
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- Rural Health Clinic/Center
- Louisville, MS
- NPI 1629417324
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766275200000",
"number": "1063799583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 W WOODROW WILSON AVE STE 1600",
"city": "JACKSON",
"state": "MS",
"postal_code": "392137627",
"telephone_number": "601-815-6886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-815-6886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZELL",
"first_name": "SHARON",
"middle_name": "ELAINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-11",
"last_updated": "2025-12-21",
"certification_date": "2025-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "15918",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528749",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063799583",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09013434",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "212345758",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2025; 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.