Individual provider Active NPI

Shonda Denise Pearl-Winters, FNP-C

  • Family Nurse Practitioner
  • Greenville, MS
National Provider Identifier
1750920542
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F12190556 Issued in MS
Practice address
1907 Lisa Drive Ext
Greenville, MS 38703-4429
Phone
(662) 334-2929
NPI assigned
Dec 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F12190556 MS Primary
Family Nurse Practitioner 363LF0000X APRN.CNP.0042639 OH

Addresses

Primary practice location

1907 Lisa Drive Ext
Greenville, MS 38703-4429

Mailing address

1907 Lisa Drive Ext
Greenville, MS 38703-4429
Phone (662) 334-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211005000155 MS Practitioner - Nurse Practitioner 6204234347 Reassigns benefits to 2 organizations
I20260304000235 TX Practitioner - Nurse Practitioner 6204234347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Oceangate
Suite 100
Long Beach, CA 90802-4316

448 S Washington Ave
Greenville, MS 38701-4721

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F12190556MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Treatment Centers of America, PLLC CurrentSince Nov 1, 2021 Accepting new patients
Molina Care Connections, LLC. CurrentSince Feb 5, 2025 Accepting new patients
Pain Treatment Centers of America PLLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

1907 Lisa Drive Ext
Greenville, MS 38703
Phone (662) 334-2929

188 E Capitol St
Ste 700
Jackson, MS 39201
Phone (844) 809-8438

3000 Corporate Exchange Dr
Columbus, OH 43231
Phone (614) 942-3042

1660 Westridge Cir N
Irving, TX 75038
Phone (214) 467-9787

Interoperability endpoints

  • Direct secure messaging: spearlwinters17216@direct-prd.molinahealthcare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1750920542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 LISA DRIVE EXT",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387034429",
            "telephone_number": "662-334-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 LISA DRIVE EXT",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387034429",
            "telephone_number": "662-334-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARL-WINTERS",
        "first_name": "SHONDA",
        "middle_name": "DENISE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "F12190556",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0042639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

Verify at the official NPI Registry.