Individual provider Active NPI

Sharon Mitchell Collins, M.D.

  • Legal Medicine
  • Tylertown, MS
National Provider Identifier
1356339352
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
12466 Issued in MS
Practice address
155 Hospital Dr
Tylertown, MS 39667-2021
Phone
(601) 876-5337
Fax
(601) 876-5190
NPI assigned
Oct 12, 2005
Last updated
Mar 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 12466 MS Primary

Addresses

Primary practice location

155 Hospital Dr
Tylertown, MS 39667-2021

Mailing address

155 Hospital Dr
P O Box 424
Tylertown, MS 39667-2021
Phone (601) 876-5337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110124000976 MS Practitioner - Family Practice 7810936614 Reassigns benefits to 4 organizations
I20200326001034 LA Practitioner - Emergency Medicine 7810936614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RH Hospitalist Medicine of Walthall General LLCGroup PAC ID 2365881091, 16 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Tylertown, MS 39667-2022
Phone (601) 876-2122

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
RH Hospitalist Medicine of Walthall General LLC CurrentSince May 13, 2024 Accepting new patients
Madison Parish Hospital Service District CurrentSince Jan 1, 2026 Accepting new patients
Keystone Medical Services of Ms, Inc CurrentSince Mar 18, 2015 Accepting new patients
Madison Parish Hospital Service District CurrentSince Jan 1, 2026 Accepting new patients
Correct Care, Inc. CurrentSince Mar 15, 2020 Accepting new patients
RH Emergency Medicine of Walthall General LLC CurrentSince May 1, 2024 Accepting new patients
Cma Family Medicine Clinic Legal Medicine CurrentSince Nov 13, 2014 Accepting new patients

Locations

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

301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931

900 Johnson St
Tallulah, LA 71282
Phone (318) 395-2241

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

233 Magnolia St
Hazlehurst, MS 39083
Phone (601) 894-4541

100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455

155 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-5337

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.

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1356339352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR",
            "address_2": "P O BOX 424",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396672021",
            "telephone_number": "601-876-5337",
            "fax_number": "601-876-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396672021",
            "telephone_number": "601-876-5337",
            "fax_number": "601-876-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "SHARON",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "MS",
            "license": "12466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tylertown, MS

Sources for this page

Verify at the official NPI Registry.