NPIMap

Individual provider Active NPI

Shunda Lynette Garner, MD

  • Family Medicine Physician
  • Ackerman, MS
National Provider Identifier
1124017546
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16790 Issued in MS
Practice address
8613 Ms Highway 12
Ackerman, MS 39735-8917
Phone
(662) 285-4400
NPI assigned
Oct 18, 2005
Last updated
Mar 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16790 MS Primary

Addresses

Primary practice location

8613 Ms Highway 12
Ackerman, MS 39735-8917

Mailing address

278 Dinkens Rd
Pickens, MS 39146-9587
Phone (601) 672-7274

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
I20061003000649 MS Practitioner - Emergency Medicine 2769487321 Reassigns benefits to 6 organizations
Practice locations: Jackson, MS

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Mississippi School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Webster Health Services IncGroup PAC ID 6901892421, 18 clinicians
Choctaw Regional Medical CenterGroup PAC ID 2567682206, 39 clinicians

Practice addresses (Care Compare)

70 Medical PLZ
Eupora, MS 39744-4018
Phone (662) 258-6221

8613 Ms Hwy 12
Ackerman, MS 39735-8917
Phone (662) 285-9460

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16790MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Hospital-Calhoun Inc CurrentSince Oct 1, 2016 Accepting new patients
Correct Care, Inc. CurrentSince Sep 1, 2013 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Choctaw Regional Medical Center CurrentSince May 9, 2018 Accepting new patients
Pontotoc Health Services, Inc. CurrentSince May 10, 2018 Accepting new patients
Baptist Memorial Hospital-Calhoun Inc CurrentSince Oct 1, 2016 Accepting new patients
Pontotoc Health Services, Inc. CurrentSince May 10, 2018 Accepting new patients
Central Jackson Family Medical Clinic Family Medicine Past Accepting new patients
Mississippi Family Doctors Family Medicine Past Accepting new patients

Locations

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

8613 MS Highway 12
Ackerman, MS 39735
Phone (662) 285-4400

112 Medical Arts Dr
Calhoun City, MS 38916
Phone (662) 628-1274

176 S Main St
Pontotoc, MS 38863
Phone (601) 489-5510

140 Burke Calhoun City Rd
Slate Spring, MS 38916
Phone (662) 628-6611

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

Interoperability endpoints

  • Direct secure messaging: shundagarner@nmhs.medalliesdirect.net

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1124017546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 DINKENS RD",
            "city": "PICKENS",
            "state": "MS",
            "postal_code": "391469587",
            "telephone_number": "601-672-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8613 MS HIGHWAY 12",
            "city": "ACKERMAN",
            "state": "MS",
            "postal_code": "397358917",
            "telephone_number": "662-285-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "SHUNDA",
        "middle_name": "LYNETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "16790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ackerman, MS

Sources for this page

Verify at the official NPI Registry.