Shonda Williams, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R860163 Issued in MS

Practice address

702 Martin Luther King St
Mound Bayou, MS 38762-9314

Phone

(662) 741-2151

Fax

(662) 741-8895

NPI assigned

Sep 29, 2009

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

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

D and F Medical Consulting LLCGroup PAC ID 3779918446, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vitalcaring Group Home health agency, Cleveland, MS, CCN 257016
• Accentcare Home Health of Greenwood Home health agency, Greenwood, MS, CCN 257131
• Bolivar Medical Center Hospital, Cleveland, MS, CCN 250093
• North Sunflower Medical Center Cah Hospital, Ruleville, MS, CCN 251318
• Delta Health System - the Medical Center Hospital, Greenville, MS, CCN 250082

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20488/brand/1/csg/1/fhir/r4
• Direct secure messaging: shonda.williams.1@20488.direct.athenahealth.com

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.

• D & F Medical Consulting, LLC

  • Family Medicine Physician
  • Cleveland, MS
  • NPI 1376184481
  Medicare reassignment Care Compare group NPD

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

• Delta Health System

  • Oncology Clinic/Center
  • Greenville, MS
  • NPI 1184232498

  Hospital

  Care Compare affiliation
• Delta Health System

  • Rural Acute Care Hospital
  • Greenville, MS
  • NPI 1306921887
  Care Compare affiliation
• Delta Health System

  • Oncology Clinic/Center
  • Clarksdale, MS
  • NPI 1578171872

  Hospital

  Care Compare affiliation
• Delta Health System

  • Oncology Clinic/Center
  • Cleveland, MS
  • NPI 1972112183

  Hospital

  Care Compare affiliation
• North Sunflower Medical Center

  • Critical Access Hospital
  • Ruleville, MS
  • NPI 1508913609
  Care Compare affiliation
• PHC-Cleveland LLC

  • General Acute Care Hospital
  • Cleveland, MS
  • NPI 1457321036
  Care Compare affiliation
• Sta-Home Health Agency of Greenwood, Inc.

  • Home Health Agency
  • Greenwood, MS
  • NPI 1235270588
  Care Compare affiliation
• Ways, LLC

  • Home Health Agency
  • Cleveland, MS
  • NPI 1215244017
  Care Compare affiliation

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1811221401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1040",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387321040",
            "telephone_number": "662-741-2151",
            "fax_number": "662-741-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 MARTIN LUTHER KING ST",
            "city": "MOUND BAYOU",
            "state": "MS",
            "postal_code": "387629314",
            "telephone_number": "662-741-2151",
            "fax_number": "662-741-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHONDA",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R860163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren Inge Dental Clinic
• Amee Renee West, PTA
• Kirsten Westerfield
• Barbara H Williams, FNP
• Daffany Williams, PMHNP-BC

• Family Nurse Practitioner in Mound Bayou, MS
• Providers in Mound Bayou, 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 Aug 19, 2014; 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.