Individual provider Active NPI

Sharon Marie Pennington, M.D.

  • Pediatric Hematology & Oncology Physician
  • Flowood, MS
National Provider Identifier
1801015136
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
21221 Issued in MS
Practice address
803 Liberty Rd
Flowood, MS 39232-9000
Phone
(601) 714-1967
Fax
(601) 714-1966
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 21221 MS Primary

Addresses

Primary practice location

803 Liberty Rd
Flowood, MS 39232-9000

Mailing address

803 Liberty Rd
Flowood, MS 39232-9000
Phone (601) 714-1967

Other names 1

  • Dr. Sharon Marie McDonald 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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110105000951 MS Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 2769671817 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Hematology/Oncology
Education
University of Mississippi School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

803 Liberty Rd
Flowood, MS 39232-9000
Phone (601) 714-1967

Hospital & facility affiliations

  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Aug 1, 2012 Accepting new patients
Delta Medical Group CurrentSince Aug 1, 2025 Accepting new patients
Southern Specialty Clinic, LLC CurrentSince Dec 1, 2024 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Aug 1, 2012 Accepting new patients
Southern Specialty Clinic, LLC Pediatric Hematology-Oncology CurrentSince Dec 1, 2024 Accepting new patients
Delta Physician Practices Past Accepting new patients

Locations

803 Liberty Rd
Flowood, MS 39232
Phone (601) 714-1967

1693 Fairgrounds Rd
Greenville, MS 38703
Phone (662) 378-3783

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

1815 Hospital Dr
Jackson, MS 39204
Phone (601) 815-4775

7730 Old Canton Rd
#B
Madison, MS 39110

Interoperability endpoints

  • Direct secure messaging: spennington197952@direct.bmhcc.org

Organizations & group practices 7

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1801015136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 LIBERTY RD",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329000",
            "telephone_number": "601-714-1967",
            "fax_number": "601-714-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 LIBERTY RD",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329000",
            "telephone_number": "601-714-1967",
            "fax_number": "601-714-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "SHARON",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "MS",
            "license": "21221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "MCDONALD",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.