Individual provider Active NPI

Shelley Creighton, CNM

  • Midwife
  • Meridian, MS
National Provider Identifier
1790207702
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
899572 Issued in MS
Practice address
1020 22ND Ave Ste B
Meridian, MS 39301-5001
Phone
(601) 703-1003
Fax
(601) 703-0124
NPI assigned
Jul 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 23188 TN
Midwife 176B00000X 899572 MS Primary

Addresses

Primary practice location

1020 22ND Ave Ste B
Meridian, MS 39301-5001

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Phone (877) 348-1281

Other practice location 1

905C S Frontage Rd
Meridian, MS 39301
Phone (601) 486-4210

Other practice location 2

2124 14th St
Meridian, MS 39301-4040
Phone (601) 703-1003

Other names 1

  • Shelley Courtney Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180830001912 MS Practitioner - Certified Nurse Midwife (CNM) 6901156652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Physician Alliance IncGroup PAC ID 3274727318, 69 clinicians

Practice addresses (Care Compare)

1020 22ND Ave
Suite B
Meridian, MS 39301-5001
Phone (601) 703-1003

Hospital & facility affiliations

  • Anderson Regional Medical Center Hospital, Meridian, MS, CCN 250104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
899572MSMDMidwife
23188TNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Physician Alliance, Inc. CurrentSince Aug 2, 2022 Accepting new patients
Urology Clinic of Meridian, P.a. Current Accepting new patients

Locations

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011

1020 22nd Ave
Ste B
Meridian, MS 39301
Phone (601) 703-1003

1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322

605 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-6925

Interoperability endpoints

  • Direct secure messaging: screighton623655@direct.bmhcc.org

Organizations & group practices 2

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": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1790207702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "telephone_number": "877-348-1281",
            "fax_number": "901-227-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 22ND AVE STE B",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015001",
            "telephone_number": "601-703-1003",
            "fax_number": "601-703-0124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905C S Frontage Rd",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "39301",
            "country_code": "US",
            "telephone_number": "601-486-4210",
            "fax_number": "601-486-4219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2124 14th St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014040",
            "country_code": "US",
            "telephone_number": "601-703-1003",
            "fax_number": "601-703-1004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREIGHTON",
        "first_name": "SHELLEY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "23188",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MS",
            "license": "899572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "COURTNEY",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.