Active NPI
Shannon Haney Loftin, FNP-C
- Family Nurse Practitioner
- Columbia, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 901706
- Practice address
- 502 Broad St
Columbia, MS 39429-3037 - Phone
- (601) 736-8282
- Fax
- (601) 736-8333
- NPI assigned
- Jun 15, 2016
- Last updated
- Dec 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 901706 | MS | |
| Family Nurse Practitioner | 363LF0000X | 901706 | MS | Primary |
Addresses
Primary practice location
502 Broad St
Columbia, MS 39429-3037
Mailing address
1065 E Broad St
Monticello, MS 39654-7703
Phone (601) 587-4051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01808562 | Medicaid | MS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sloftin53740@directpatientrecord.com | Health Information Exchange (HIE) |
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southwest Mississippi Regional Medical Center
Practice addresses (Care Compare)
100 Hospital Dr
Tylertown, MS 39667-2022
Phone (601) 876-2122
1065 E Broad St
Lawrence County Hospitalists
Monticello, MS 39654-7703
Phone (601) 587-4051
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.09 of 100
- Quality
- 73.43
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 901706 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RH Hospitalist Medicine of Walthall General LLC | Current | Accepting new patients | |
| Southwest Mississippi Regional Medical Center | Current | Accepting new patients | |
| RH Hospitalist Medicine of Jefferson Davis LLC | Current | Accepting new patients | |
| Keystone Medical Services of Ms, Inc | Current | Accepting new patients | |
| Southwest Mississippi Regional Medical Center | Current | Accepting new patients | |
| RH Emergency Medicine of Pearl River LLC | Current | Accepting new patients | |
| RH Emergency Medicine of Walthall General LLC | Current | Accepting new patients | |
| RH Emergency Medicine of Jefferson Davis LLC | Current | Accepting new patients | |
| RH Emergency Medicine of Perry County LLC | Current | Accepting new patients | |
| RH Emergency Medicine of Marion General LLC | Current | Accepting new patients | |
| Southwest Mississippi Regional Medical Center | Current | Accepting new patients |
Locations
1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303
1065 E Broad St
Monticello, MS 39654
Phone (601) 249-1350
1167 E Broad St
Monticello, MS 39654
Phone (601) 587-1433
305 W Moody St
Poplarville, MS 39470
Phone (601) 795-4345
1102 Rose St
Prentiss, MS 39474
Phone (601) 792-2947
206 Bay Ave
Richton, MS 39476
Phone (601) 788-6316
100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455
Interoperability endpoints
- sloftin53740@directpatientrecord.com
Organizations & group practices 11
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.
-
- Hospitalist Physician
- Tylertown, MS
- NPI 1053173237
-
- Emergency Medicine Physician
- Hazlehurst, MS
- NPI 1174691059
-
- Emergency Medicine Physician
- Prentiss, MS
- NPI 1356103527
-
- Emergency Medicine Physician
- Columbia, MS
- NPI 1841064110
-
- Emergency Medicine Physician
- Poplarville, MS
- NPI 1265206544
-
- Emergency Medicine Physician
- Richton, MS
- NPI 1740058650
-
- Emergency Medicine Physician
- Tylertown, MS
- NPI 1336901511
-
- Hospitalist Physician
- Prentiss, MS
- NPI 1174385355
-
dba Lawrence County Family Practice
- Rural Health Clinic/Center
- Monticello, MS
- NPI 1245289172
-
dba Lawrence County Hospital
- Critical Access Hospital
- Monticello, MS
- NPI 1932211851
-
dba Summit Family Practice Rural Health Clinic
- Rural Health Clinic/Center
- Summit, MS
- NPI 1154008811
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lawrence County Hospital
- Critical Access Hospital
- Monticello, MS
- NPI 1932211851
-
- Critical Access Hospital
- Tylertown, MS
- NPI 1023326485
-
dba Walthall Rural Health Clinic
- Critical Access Hospital
- Tylertown, MS
- NPI 1255649604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1609226109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 E BROAD ST",
"city": "MONTICELLO",
"state": "MS",
"postal_code": "396547703",
"telephone_number": "601-587-4051",
"fax_number": "601-587-0306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 BROAD ST",
"city": "COLUMBIA",
"state": "MS",
"postal_code": "394293037",
"telephone_number": "601-736-8282",
"fax_number": "601-736-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOFTIN",
"first_name": "SHANNON",
"middle_name": "HANEY",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-15",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "901706",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "901706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01808562",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sloftin53740@directpatientrecord.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "502 Broad St",
"city": "Columbia",
"state": "MS",
"country_code": "US",
"postal_code": "394293037",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbia, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.