Sharon Mitchell Collins, M.D.
Individual provider Active NPI Legal Medicine · Tylertown, MS
NPI 1356339352 · NPPES record last updated Mar 12, 2008
Key facts
- NPI
- 1356339352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Legal Medicine 173000000X
- License
- 12466 (MS)
- Practice address
- 155 Hospital Dr
Tylertown, MS 39667-2021 - Phone
- (601) 876-5337
- Fax
- (601) 876-5190
- NPI assigned
- Oct 12, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
100 Hospital Dr
Tylertown, MS 39667-2022
Phone (601) 876-2122
Hospital & facility affiliations
- Walthall County General Hospital Cah
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MS, LA
- 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 |
|---|---|---|---|---|
| I20110124000976 | MS | Practitioner - Family Practice | 7810936614 | Reassigns benefits to 4 organizations |
| I20200326001034 | LA | Practitioner - Emergency Medicine | 7810936614 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12466 | MS | MD | Legal Medicine |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RH Emergency Medicine of Walthall General LLC | Current |
Accepting new patients | |
| Cma Family Medicine Clinic | Legal Medicine | Current |
Accepting new patients |
| Madison Parish Hospital Service District | Current |
Accepting new patients | |
| Madison Parish Hospital Service District | Current |
Accepting new patients | |
| Correct Care, Inc. | Current |
Accepting new patients | |
| RH Hospitalist Medicine of Walthall General LLC | Current |
Accepting new patients | |
| Keystone Medical Services of Ms, Inc | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 12466 | MS | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5010127 | Other | MS | AETNA |
| 0130137 | Other | MS | UNITED HEALTHCARE |
| 0011131 | Medicaid | MS |
Other providers in Tylertown, MS
- Care Management Group Inc
- Elizabeth Carey
- Deondra Monique Carr
- Shelia Carson
- Cma Family Medicine Clinic
- Comfort Cove Home Care LLC
- Compassion Works
- Compassion Works LLC
- Jasmine Dillon
- Mark Andrew Dillon
All providers in Tylertown, MS · Legal Medicine 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 12, 2008. 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.