Active NPI
Sheree Conley-Donaldson, PHD, DNP, FNP, PMHNP
- Family Nurse Practitioner
- Hattiesburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R893659
- Practice address
- 100 S 20TH Ave Ste a
Hattiesburg, MS 39401-6043 - Phone
- (769) 250-8054
- NPI assigned
- Apr 15, 2015
- Last updated
- Sep 19, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R893659 | MS | |
| Family Nurse Practitioner | 363LF0000X | R893659 | MS | Primary |
Addresses
Primary practice location
100 S 20TH Ave Ste a
Hattiesburg, MS 39401-6043
Mailing address
185 Millpond Drive
Hattiesburg, MS 39401-5559
Phone (601) 602-3161
Other practice location 1
1101 Old Highway 11
Ellisville, MS 39437
Phone (601) 477-9384
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10556 Hwy 49
Gulfport, MS 39503-4109
Phone (228) 539-2399
422 Memorial Blvd
Picayune, MS 39466-5544
Phone (601) 798-2151
6101 U S Hwy 49
Hattiesburg, MS 39401-7158
6101 U S Hwy 49
Hattiesburg, MS 39402-7158
Phone (228) 223-1927
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R893659 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Center Inc | Current | Accepting new patients | |
| Gulfport 49 Imaging, LLC | Current | Accepting new patients | |
| Hattiesburg Urgent Care, LLC | Current | Accepting new patients | |
| Maxem Health Urgent Care Flowood | Current | Accepting new patients | |
| Maxem Health Urgent Care McComb | Current | Accepting new patients | |
| Maxem Health Urgent Care Magee | Current | Accepting new patients | |
| Family Health Center, Inc | Current | Accepting new patients | |
| Picayune Urgent Care Clinic, LLC | Current | Accepting new patients | |
| Orange Grove Urgent Care | Current | Accepting new patients | |
| Ocean Springs Urgent Care | Current | Accepting new patients | |
| Petal Urgent Care LLC | Current | Accepting new patients |
Locations
10556 Highway 49
Gulfport, MS 39503
Phone (228) 539-2399
6101 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 909-6240
117 S 11th Ave
Laurel, MS 39440
Phone (601) 425-3033
1529 Simpson Highway 49
Magee, MS 39111
Phone (601) 439-7288
101 Edgewood Dr
McComb, MS 39648
Phone (601) 324-3244
1514 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 382-9222
1272 Evelyn Gandy Pkwy
Ste 60
Petal, MS 39465
Phone (601) 336-5393
422 Memorial Blvd
Picayune, MS 39466
Phone (601) 749-0080
Organizations & group practices 13
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.
-
- Urgent Care Clinic/Center
- Hattiesburg, MS
- NPI 1164805156
-
- Urgent Care Clinic/Center
- Gulfport, MS
- NPI 1831330661
-
- Urgent Care Clinic/Center
- Picayune, MS
- NPI 1780723502
-
- Clinic/Center
- Laurel, MS
- NPI 1760488357
-
dba Flowood Urgent Care
- Urgent Care Clinic/Center
- Flowood, MS
- NPI 1174070650
-
dba Magee Urgent Care
- Urgent Care Clinic/Center
- Magee, MS
- NPI 1235669136
-
dba McComb Urgent Care
- Urgent Care Clinic/Center
- McComb, MS
- NPI 1235619479
-
- Urgent Care Clinic/Center
- Ocean Springs, MS
- NPI 1871808022
-
- Urgent Care Clinic/Center
- Petal, MS
- NPI 1982908877
-
- Urgent Care Clinic/Center
- D'Iberville, MS
- NPI 1265991608
-
- Urgent Care Clinic/Center
- Pascagoula, MS
- NPI 1235442872
-
- Federally Qualified Health Center (FQHC)
- Ellisville, MS
- NPI 1083255087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1649666744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 MILLPOND DRIVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394015559",
"telephone_number": "601-602-3161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S 20TH AVE STE A",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394016043",
"telephone_number": "769-250-8054"
}
],
"practiceLocations": [
{
"address_1": "1101 Old Highway 11",
"address_purpose": "LOCATION",
"city": "Ellisville",
"state": "MS",
"postal_code": "39437",
"country_code": "US",
"telephone_number": "601-477-9384",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONLEY-DONALDSON",
"first_name": "SHEREE",
"name_prefix": "Dr.",
"credential": "PHD, DNP, FNP, PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-15",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MS",
"license": "R893659",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R893659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.