Individual provider Active NPI

Chakilia Sharee Moody, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1861049447
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
903497 Issued in MS
Practice address
2506 Lakeland Dr Ste 300
Flowood, MS 39232-7640
Phone
(601) 326-2599
NPI assigned
Aug 20, 2019
Last updated
Aug 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 903497 MS Primary

Addresses

Primary practice location

2506 Lakeland Dr Ste 300
Flowood, MS 39232-7640

Mailing address

2506 Lakeland Dr Ste 300
Flowood, MS 39232-7640

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
I20191008000092 MS Practitioner - Nurse Practitioner 8628309523 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minor Med Care, LLCGroup PAC ID 7618866021, 77 clinicians

Practice addresses (Care Compare)

120 W Main St
Raymond, MS 39154-1223
Phone (601) 857-2341

Merit-based Incentive Payment System (MIPS)

Final score
90.89 of 100Reported as group
Quality
98.7
Improvement activities
40
Cost
71.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MDB Care Management LLC CurrentSince Sep 12, 2025 Accepting new patients
Minor Med Care, LLC CurrentSince Jul 1, 2024 Accepting new patients
Uppal Medical Center LLC CurrentSince Sep 12, 2025 Accepting new patients
Minor Med Care, LLC CurrentSince Jul 1, 2024 Accepting new patients
MDB Behavioral Health Services LLC CurrentSince Sep 12, 2025 Accepting new patients
Southeastern Transitional Care Management Services CurrentSince Oct 1, 2024 Accepting new patients
Joyce D Wade Pulmonary & Sleep Specialist PastSince Aug 25, 2019 Accepting new patients

Locations

1727 E Union St
Greenville, MS 38703
Phone (662) 332-0373

215 Katherine Dr
#A
Jackson, MS 39232

2860 McDowell Road Ext
Jackson, MS 39204
Phone (601) 372-1117

Interoperability endpoints

  • Direct secure messaging: chakilia.moodynp.p1@direct.tricountypulsleep.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1861049447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 LAKELAND DR STE 300",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 LAKELAND DR STE 300",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327640",
            "telephone_number": "601-326-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "CHAKILIA",
        "middle_name": "SHAREE",
        "name_prefix": "Ms.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "903497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.