Individual provider Active NPI

Sharay T North

  • Speech-Language Pathologist
  • Pascagoula, MS
National Provider Identifier
1366105751
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
232075 Issued in MS
Practice address
1511 Jackson Ave
Pascagoula, MS 39567-4356
Phone
(228) 249-9449
Fax
(228) 533-2324
NPI assigned
Oct 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 232075 MS Primary

Addresses

Primary practice location

1511 Jackson Ave
Pascagoula, MS 39567-4356

Mailing address

1511 Jackson Ave
Pascagoula, MS 39567-4356
Phone (228) 219-4793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220322000046 MS Practitioner - Qualified Speech Language Pathologist 9436541083 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
232075MSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speakeasy Clinic Speech-Language Pathologist CurrentSince Dec 23, 2021 Accepting new patients

Locations

1511 Jackson Ave
Pascagoula, MS 39567
Phone (228) 249-9449

3452 Pascagoula St
Ste 2
Pascagoula, MS 39567
Phone (228) 249-9449

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1366105751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 JACKSON AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395674356",
            "telephone_number": "228-219-4793",
            "fax_number": "228-533-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 JACKSON AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395674356",
            "telephone_number": "228-249-9449",
            "fax_number": "228-533-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTH",
        "first_name": "SHARAY",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "232075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.