Individual provider Active NPI

Shara M Beckwith, CFNP

  • Family Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1609864974
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
782685 Issued in MS
Practice address
205A Belle Meade PT
Flowood, MS 39232-3311
Phone
(601) 200-5678
Fax
(601) 992-0096
NPI assigned
Oct 11, 2005
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 782685 MS
Family Nurse Practitioner 363LF0000X 782685 MS Primary

Addresses

Primary practice location

205A Belle Meade PT
Flowood, MS 39232-3311

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (601) 200-5678

Other practice location 1

1297 W Government St
Brandon, MS 39042-3048
Phone (601) 200-4790

Other practice location 2

2050 Treetops Blvd Ste 140
Flowood, MS 39232-7612
Phone (601) 200-3131

Other practice location 3

728 Clinton Pkwy Ste B
Clinton, MS 39056-5227
Phone (601) 200-4800

Other practice location 4

1050 River Oaks Dr Ste 100
Flowood, MS 39232-9564
Phone (601) 200-4760

Other practice location 5

106 Highland Way Ste 103
Madison, MS 39110-6930
Phone (601) 200-4750

Other practice location 6

969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 200-2280

Other practice location 7

610 Second St
Pelahatchie, MS 39145-3135
Phone (601) 854-5044

Other identifiers 2

IdentifierTypeStateIssuer
08650772MedicaidMS
P01022112OtherMSRAILROAD MEDICARE

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
I20040708001048 MS Practitioner - Nurse Practitioner 8628056595 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

106 Highland Way
Madison, MS 39110-6933

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.09 of 100Reported as apm
Quality
73.43
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
782685MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Clinic - Convenient Care CurrentSince May 1, 2013 Accepting new patients
Medical Foundation of Central Ms CurrentSince May 1, 2013 Accepting new patients
St Dominic Medical Associates LLC CurrentSince Dec 1, 2011 Accepting new patients
St. Dominic Medical Associates LLC CurrentSince Dec 1, 2011 Accepting new patients
Medical Foundation of Central Mississippi, Inc. Current Accepting new patients
Central Jackson Family Medical Clinic Past Accepting new patients
St Dominic Medical Associates LLC Family Past Accepting new patients
St Dominic Medical Associates LLC Past Accepting new patients
St. Dominic Medical Associates LLC PastSince Jan 14, 2024 Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

1297 W Government St
Brandon, MS 39042
Phone (601) 200-4790

728 Clinton Pkwy
#B
Clinton, MS 39056
Phone (601) 200-4800

1050 River Oaks Dr
Ste 100
Flowood, MS 39232
Phone (601) 200-4750

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

969 Lakeland Dr
Jackson, MS 39216
Phone (601) 200-4644

106 Highland Way
Ste 103
Madison, MS 39110
Phone (601) 200-4750

106 Highland Way
Ste 202
Madison, MS 39110
Phone (601) 200-3376

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1609864974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "601-200-5678",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205A BELLE MEADE PT",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323311",
            "telephone_number": "601-200-5678",
            "fax_number": "601-992-0096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1297 W Government St",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390423048",
            "country_code": "US",
            "telephone_number": "601-200-4790",
            "fax_number": "601-200-4855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 Treetops Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392327612",
            "country_code": "US",
            "telephone_number": "601-200-3131",
            "fax_number": "601-200-3109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "728 Clinton Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MS",
            "postal_code": "390565227",
            "country_code": "US",
            "telephone_number": "601-200-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 River Oaks Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329564",
            "country_code": "US",
            "telephone_number": "601-200-4760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Highland Way Ste 103",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391106930",
            "country_code": "US",
            "telephone_number": "601-200-4750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "969 Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164606",
            "country_code": "US",
            "telephone_number": "601-200-2280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 Second St",
            "address_purpose": "LOCATION",
            "city": "Pelahatchie",
            "state": "MS",
            "postal_code": "391453135",
            "country_code": "US",
            "telephone_number": "601-854-5044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKWITH",
        "first_name": "SHARA",
        "middle_name": "M",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "782685",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "782685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08650772",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01022112",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.