Shunda Lynette Garner, MD
Individual provider Active NPI Family Medicine Physician · Ackerman, MS
NPI 1124017546 · NPPES record last updated Mar 10, 2020
Key facts
- NPI
- 1124017546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 16790 (MS)
- Practice address
- 8613 Ms Highway 12
Ackerman, MS 39735-8917 - Phone
- (662) 285-4400
- NPI assigned
- Oct 18, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 20
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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 Inc
Choctaw Regional Medical Center
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
- Choctaw Regional Medical Center
- Webster General Hospital/ Swing Bed
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061003000649 | MS | Practitioner - Emergency Medicine | 2769487321 |
Reassigns benefits to 6 organizations Practice locations: Jackson, MS |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pontotoc Health Services, Inc. | Current |
Accepting new patients | |
| Correct Care, Inc. | Current |
Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Baptist Memorial Hospital-Calhoun Inc | Current |
Accepting new patients | |
| Pontotoc Health Services, Inc. | Current |
Accepting new patients | |
| Choctaw Regional Medical Center | Current |
Accepting new patients | |
| Baptist Memorial Hospital-Calhoun Inc | Current |
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
- shundagarner@nmhs.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 16790 | MS | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00122194 | Medicaid | MS |
Other providers in Ackerman, MS
- Discount Drugs of Ms LLC
- Betty Ann Dobbs
- Shannon Dobbs
- Jan Ganann
- Reginald Gandy
- Celeste Prather Hamous
- Angela Ann Hays
- Connie Elizabeth Holland
- Megan Paige Hubbard
- Sarah Irvin
All providers in Ackerman, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.