Nadia Shanise Clark, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

904907 Issued in MS

Practice address

5056 W 4TH St # 100
Hattiesburg, MS 39402-1069

Phone

(601) 446-2056

Fax

(949) 288-0396

NPI assigned

Sep 21, 2021

Last updated

May 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nadia Shanise Hinton Former name

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fast Pace Mississippi PLLCGroup PAC ID 3678832029, 192 clinicians

Covington County HospitalGroup PAC ID 4183517253, shared by 16 NPIs, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covington County Hospital Cah Hospital, Collins, MS, CCN 251325
• Marion General Hospital Hospital, Columbia, MS, CCN 250085

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8276/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-usa.unify.chbase.com/org/covingc-3983785e

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.

• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559

  Family

  Medicare reassignment Care Compare group NPD
• Byron Kemp Clark

  dba Magnolia Family Wellness Clinic

  • Family Nurse Practitioner
  • Hattiesburg, MS
  • NPI 1871392860
  Medicare reassignment NPD
• Covington County Hospital

  dba CCH Clinic Seminary

  • Rural Health Clinic/Center
  • Seminary, MS
  • NPI 1134435498
  Medicare reassignment NPD
• Covington County Hospital

  dba CCH Clinic Taylorsville

  • Rural Health Clinic/Center
  • Taylorsville, MS
  • NPI 1306460282
  Medicare reassignment NPD
• Covington County Hospital

  dba Green Tree Family Medical Clinic

  • Rural Health Clinic/Center
  • Mount Olive, MS
  • NPI 1336447861
  Medicare reassignment NPD
• Covington County Hospital

  dba Family Care of Main Street

  • Rural Health Clinic/Center
  • Collins, MS
  • NPI 1518260330
  Medicare reassignment NPD
• Covington County Hospital

  dba CCH Clinic Family Medical

  • Rural Health Clinic/Center
  • Collins, MS
  • NPI 1598769044
  Medicare reassignment NPD
• Covington County Hospital

  dba Medical Center of Magee

  • Rural Health Clinic/Center
  • Magee, MS
  • NPI 1750895611
  Medicare reassignment NPD
• Pioneer Health Care , LLC

  • General Practice Physician
  • Bassfield, MS
  • NPI 1336384742
  Medicare reassignment NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  MS

  Medicare reassignment NPD
• Covington County Hospital

  dba Smith County EH Pro Fees

  • Emergency Medical Services (Emergency Medicine) Physician
  • Raleigh, MS
  • NPI 1003654567
  NPD
• Covington County Hospital

  dba Covington Health Sumrall

  • Rural Health Clinic/Center
  • Sumrall, MS
  • NPI 1659995538
  NPD

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

• Covington County Hospital

  • Critical Access Hospital
  • Collins, MS
  • NPI 1215965249
  Care Compare affiliation
• Forrest County General Hospital

  dba Marion General Hospital

  • General Acute Care Hospital
  • Columbia, MS
  • NPI 1427320993
  Care Compare affiliation

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1689345506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SEQUATCHIE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021269",
            "telephone_number": "601-410-7189",
            "fax_number": "949-288-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5056 W 4TH ST # 100",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021069",
            "telephone_number": "601-446-2056",
            "fax_number": "949-288-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "NADIA",
        "middle_name": "SHANISE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADIA",
            "last_name": "HINTON",
            "middle_name": "SHANISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dedra Clark-Allen, M.A., CCC-SLP
• Donta Lasharra Clark
• Francis R Clark, LPC
• John Reynolds Clark, DPT
• Misti Clark, PHARM.D.
• Richard C Clark III, MDCAC
• Samantha Clark, PHARM D
• Kenita Clarke
• Lana Johnson Clarke, DMD
• Lisa Clary, CPSS

• Family Nurse Practitioner in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.

Verify at the official NPI Registry.