Individual provider Active NPI

Sherra J Carr, NP-C

  • Family Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1851648802
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R867679 Issued in MS
Practice address
971 Lakeland Dr.
Ste 1157
Jackson, MS 39216-4643
Phone
(601) 362-6900
Fax
(601) 362-6111
NPI assigned
Aug 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R867679 MS Primary

Addresses

Primary practice location

971 Lakeland Dr.
Ste 1157
Jackson, MS 39216-4643

Mailing address

971 Lakeland Dr.
Ste 1157
Jackson, MS 39216-4643
Phone (601) 362-6900

Other names 1

  • Sherra J Williams 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130218000320 MS Practitioner - Nurse Practitioner 2769636943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Arthritis Clinic PLLCGroup PAC ID 6800971946, 8 clinicians

Practice addresses (Care Compare)

185 Medical Pkwy
Suite 201
Flowood, MS 39232-1248
Phone (601) 362-6900

971 Lakeland Dr
Suite 950
Jackson, MS 39216-4608
Phone (601) 362-6900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.89 of 100Reported as group
Quality
87.92
Improvement activities
40
Cost
75.75

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: sherra.carr.p1@direct.mac.nextgenshare.com

Organizations & group practices 1

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": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851648802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR.",
            "address_2": "STE 1157",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164643",
            "telephone_number": "601-362-6900",
            "fax_number": "601-362-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR.",
            "address_2": "STE 1157",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164643",
            "telephone_number": "601-362-6900",
            "fax_number": "601-362-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "SHERRA",
        "middle_name": "J",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R867679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRA",
            "last_name": "WILLIAMS",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.