Shaylia Standberry, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R878238 Issued in MS

Practice address

1318 Harrison Ave
McComb, MS 39648-2830

Phone

(601) 684-2300

Fax

(601) 684-2360

NPI assigned

Sep 1, 2015

Last updated

May 18, 2021By the provider in NPPES

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Mississippi Regional Medical CenterGroup PAC ID 5193633907, 82 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southwest Ms Regional Medical Center Hospital, McComb, MS, CCN 250097
• King's Daughters Medical Center-Brookhaven Hospital, Brookhaven, MS, CCN 250057

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Southwest Mississippi Regional Medical Center

  dba McComb OB-GYN

  • Obstetrics & Gynecology Physician
  • McComb, MS
  • NPI 1982174488
  Medicare reassignment Care Compare group NPD
• Southwest Mississippi Regional Medical Center

  dba Summit Family Practice Rural Health Clinic

  • Rural Health Clinic/Center
  • Summit, MS
  • NPI 1154008811
  NPD
• Southwest Mississippi Regional Medical Center

  dba SMRMC Emergency Physicians

  • Emergency Medicine Physician
  • McComb, MS
  • NPI 1306412986
  NPD
• Southwest Mississippi Regional Medical Center

  dba Womens Health Center

  • Rural Health Clinic/Center
  • McComb, MS
  • NPI 1144873910
  NPD (past)
• Southwest Ms Regional Medical Center

  dba Cardiovascular Institute of Ms

  • Cardiovascular Disease Physician
  • Monticello, MS
  • NPI 1255422457
  NPD (past)

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

• King's Daughters Medical Center

  • General Acute Care Hospital
  • Brookhaven, MS
  • NPI 1972503464
  Care Compare affiliation
• Southwest Mississippi Regional Medical Center

  • General Acute Care Hospital
  • McComb, MS
  • NPI 1407805971
  Care Compare affiliation

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1497122808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396490490",
            "telephone_number": "601-249-2701",
            "fax_number": "601-249-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 HARRISON AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482830",
            "telephone_number": "601-684-2300",
            "fax_number": "601-684-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDBERRY",
        "first_name": "SHAYLIA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R878238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08735553",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Spiers, CRNA
• Dana Spring
• Robin Bass Spring, FNP
• St. Luke Home Health Services, LLC
• Lesia M Stallings
• Monique C Starks
• Dennis W Starnes, B.S. D.D.S.
• Statcare PLLC
• Statcare PLLC (STATCare Plus, Inc.)
• Kendra Ste-Marie

• Family Nurse Practitioner in McComb, MS
• Providers in McComb, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.