Sharon L Scruggs, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R764114 Issued in MS

Practice address

336 Eureka Street
Taylorsville, MS 39168-0291

Phone

(601) 785-4322

Fax

(601) 785-6881

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Off Main Street Medical PLLCGroup PAC ID 6103146527, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Magee General Hospital Hospital, Magee, MS, CCN 250124

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: offmainstreetmedical.sharonscruggs@130554.advancedmd-direct.com

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.

• Off Main Street Medical PLLC

  • Family Nurse Practitioner
  • Taylorsville, MS
  • NPI 1023408614
  Medicare reassignment Care Compare group NPD Authorized official
• Forrest County General Hospital

  • Critical Access Hospital
  • Poplarville, MS
  • NPI 1003026717
  NPD (past)
• Pearl River County Hospital

  • Family Medicine Physician
  • Purvis, MS
  • NPI 1881992055
  NPD (past)

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

• Magee Benevolent Association

  • General Acute Care Hospital
  • Magee, MS
  • NPI 1679553994
  Care Compare affiliation

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1164521548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291",
            "address_2": "336 EUREKA STREET",
            "city": "TAYLORSVILLE",
            "state": "MS",
            "postal_code": "391680291",
            "telephone_number": "601-785-4322",
            "fax_number": "601-785-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 EUREKA STREET",
            "city": "TAYLORSVILLE",
            "state": "MS",
            "postal_code": "391680291",
            "telephone_number": "601-785-4322",
            "fax_number": "601-785-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRUGGS",
        "first_name": "SHARON",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R764114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117436",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randys House of Medicine
• Carolyn Ann Schrader, N.P.
• Hailey Scott, PT, DPT
• Jory Scott, ATC, LAT
• Mark Waylon Scruggs, FNP-C
• Jo Ellen Sullivan, R. PH.
• T & H Healthcare Solutions, LLC
• T & T Nemt Services, LLP
• Taylorsville Eye Care LLC
• Taylorsville Family Dental

• Nurse Practitioner in Taylorsville, MS
• Providers in Taylorsville, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.

Verify at the official NPI Registry.