Active NPI
Sharron Shonet Moore, FNP-BC
- Nurse Practitioner
- Greenville, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 903671
- Practice address
- 1504 Hospital St
Greenville, MS 38703-3219 - Phone
- (662) 378-9929
- NPI assigned
- Jan 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 903671 | MS | Primary |
Addresses
Primary practice location
1504 Hospital St
Greenville, MS 38703-3219
Mailing address
1501 E Reed Rd Apt 8E
Greenville, MS 38703-7252
Phone (662) 822-9309
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
Enrollment records 1
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
Practice addresses (Care Compare)
1668 W Peace St
Canton, MS 39046-5332
Phone (601) 859-5213
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 903671 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shaw Family Medical, LLC | Current | Accepting new patients | |
| Delta Health Center Inc | Current | Accepting new patients | |
| Making Moves in the Community, Incorporated | Current | Accepting new patients | |
| Greenbrook Physician Services, LLC | Nurse Practitioner | Current | Accepting new patients |
| Delta Health Center, Inc. | Current | Accepting new patients | |
| Shaw Family Medical, LLC | Current | Accepting new patients | |
| Delta Health Center, Inc. | Past | Accepting new patients |
Locations
715 S Martin Luther King Dr
Cleveland, MS 38732
306 Merritt Dr
Cleveland, MS 38732
601 Lucy Seaberry Blvd
Cleveland, MS 38732
548 Rosemary Rd
Cleveland, MS 38732
Phone (662) 741-8880
400 South Blvd
Drew, MS 38737
Phone (662) 745-8892
2363 Highway 1 S
Greenville, MS 38701
Phone (662) 334-1253
1414 Hospital St
Greenville, MS 38703
Phone (662) 335-3991
118 Front Ave
Indianola, MS 38751
Phone (662) 741-2151
302 College Ave
Indianola, MS 38751
Phone (662) 331-8894
404 Jefferson St
Indianola, MS 38751
Phone (662) 884-1250
14000 Highway 82 W
Itta Bena, MS 38941
Phone (334) 357-1543
801 N Broad St
Leland, MS 38756
Phone (662) 686-0295
598 Ingram St
Moorhead, MS 38761
Phone (662) 246-8028
506 W Washington St
Moorhead, MS 38761
Phone (662) 246-5680
702 Mlk St
Mound Bayou, MS 38762
Phone (662) 741-2151
20400 Highway 61
Rolling Fork, MS 39159
Phone (662) 741-2151
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
Interoperability endpoints
- sharron.moore.p1@direct.deltahc.nextgenshare.com
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Canton, MS
- NPI 1801952809
-
- Federally Qualified Health Center (FQHC)
- Mound Bayou, MS
- NPI 1659378610
-
- Federally Qualified Health Center (FQHC)
- Greenville, MS
- NPI 1215358783
-
- Internal Medicine Physician
- Southaven, MS
- NPI 1801683008
Nurse Practitioner
-
- Family Medicine Physician
- Shaw, MS
- NPI 1851884266
-
- Family Nurse Practitioner
- Drew, MS
- NPI 1043665532
-
- Clinic/Center
- Shaw, MS
- NPI 1750642633
-
- Federally Qualified Health Center (FQHC)
- Mayersville, MS
- NPI 1689041063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578614400000",
"number": "1568002145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 E REED RD APT 8E",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387037252",
"telephone_number": "662-822-9309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 HOSPITAL ST",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387033219",
"telephone_number": "662-378-9929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "SHARRON",
"middle_name": "SHONET",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-10",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "903671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.