Individual provider Active NPI

Sharon D Henrikson, NP

  • Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1679186407
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
903993 Issued in MS
Practice address
205A Belle Meade PT
Flowood, MS 39232-3311
Phone
(601) 200-5678
Fax
(601) 992-0096
NPI assigned
Aug 31, 2020
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 903993 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 (012) 005-6786

Other practice location 1

1051 Highland Colony Pkwy Ste E
Ridgeland, MS 39157-7701
Phone (601) 707-3737

Other practice location 2

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

Other practice location 3

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

Other practice location 4

969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 200-6688

Other practice location 5

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

Other practice location 6

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

Other practice location 7

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

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
I20200928000162 MS Practitioner - Nurse Practitioner 4183043011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Dominic Medical Associates LLCGroup PAC ID 0446303168, 130 clinicians

Practice addresses (Care Compare)

106 Highland Way
Madison, MS 39110-6933

Hospital & facility affiliations

  • St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Dominic Medical Associates LLC CurrentSince Oct 29, 2023 Accepting new patients
St Dominic Medical Associates LLC CurrentSince Oct 29, 2023 Accepting new patients
St. Dominic Medical Associates LLC Current Accepting new patients
Trustcare Primary Care, LLC Past Accepting new patients
St Dominic Medical Associates LLC Past 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

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

610 Second St
Pelahatchie, MS 39145
Phone (601) 200-4266

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1679186407",
    "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": "012-005-6786",
            "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": "1051 Highland Colony Pkwy Ste E",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391577701",
            "country_code": "US",
            "telephone_number": "601-707-3737",
            "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": "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"
        },
        {
            "address_1": "969 Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164606",
            "country_code": "US",
            "telephone_number": "601-200-6688",
            "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": "1297 W Government St",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390423048",
            "country_code": "US",
            "telephone_number": "601-200-4790",
            "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"
        }
    ],
    "basic": {
        "last_name": "HENRIKSON",
        "first_name": "SHARON",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "903993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.