Individual provider Active NPI

Sharron Shonet Moore, FNP-BC

  • Nurse Practitioner
  • Greenville, MS
National Provider Identifier
1568002145
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
903671 Issued in MS
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

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200925002537 MS Practitioner - Nurse Practitioner 1759700677 Reassigns benefits to 1 organization

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
G a Carmichael Family Health Center, Inc.Group PAC ID 2567371032, 23 clinicians

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

LicenseStateTypeSpecialty
903671MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shaw Family Medical, LLC Current Accepting new patients
Delta Health Center Inc Current Accepting new patients
Making Moves in the Community, Incorporated CurrentSince Jul 12, 2021 Accepting new patients
Greenbrook Physician Services, LLC Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients
Delta Health Center, Inc. CurrentSince Oct 19, 2022 Accepting new patients
Shaw Family Medical, LLC CurrentSince Jul 20, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.