Individual provider Active NPI

Sharhonda Michelle Anderson, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ridgeland, MS
National Provider Identifier
1184258956
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
903831 Issued in MS
Practice address
7048 Old Canton Rd Ste 220
Ridgeland, MS 39157-1021
Phone
(601) 919-0972
NPI assigned
Mar 2, 2020
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903831 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 903831 MS Primary

Addresses

Primary practice location

7048 Old Canton Rd Ste 220
Ridgeland, MS 39157-1021

Mailing address

7048 Old Canton Rd Ste 220
Ridgeland, MS 39157-1021
Phone (601) 919-0972

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200819000156 MS Practitioner - Nurse Practitioner 7618393802 Reassigns benefits to 4 organizations
Practice locations: Terry, MS

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Medical Consultants LLCGroup PAC ID 9830496314, 19 clinicians

Practice addresses (Care Compare)

Ridgeland, MS 39157
Phone (601) 992-9790

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903831MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Consultings LLC Psychiatric/Mental Health Current Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Aug 5, 2024 Accepting new patients
Comprehensive Pain Center of Mississippi CurrentSince May 8, 2023 Accepting new patients
Southern Medical Consultants LLC CurrentSince Jun 8, 2024 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Aug 5, 2024 Accepting new patients
Strategic Solutions-Panola Medical Center LLC Current Accepting new patients
Wound Management Specialists, LLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

255 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-2163

303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155

108 Four LN Hwy 49
Bentonia, MS 39040
Phone (662) 998-8900

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

1190 N State St
Ste 2A
Jackson, MS 39202
Phone (601) 292-4292

129 Fountains Blvd
Madison, MS 39110
Phone (769) 300-0720

129 Fountains Blvd
Ste 201
Madison, MS 39110
Phone (769) 300-0730

7048 Old Canton Rd
Ste 2E
Ridgeland, MS 39157
Phone (601) 919-0972

Interoperability endpoints

  • Direct secure messaging: sanderson173173@direct.bmhcc.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1184258956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7048 OLD CANTON RD STE 220",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571021",
            "telephone_number": "601-919-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7048 OLD CANTON RD STE 220",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571021",
            "telephone_number": "601-919-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SHARHONDA",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903831",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "903831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.