Individual provider Active NPI

Sydney Dawkins, FNP

  • Family Nurse Practitioner
  • Madison, MS
National Provider Identifier
1861217317
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
907030 Issued in MS
Practice address
117 Eagles Nest Cir
Madison, MS 39110-6026
Phone
(601) 513-1905
NPI assigned
Nov 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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 907030 MS Primary

Addresses

Primary practice location

117 Eagles Nest Cir
Madison, MS 39110-6026

Mailing address

117 Eagles Nest Cir
Madison, MS 39110-6026
Phone (601) 513-1905

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
I20260312002525 MS Practitioner - Nurse Practitioner 5991288482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Mississippi School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustcare Health, LLCGroup PAC ID 0547427858, 40 clinicians

Practice addresses (Care Compare)

101 Lexington Dr
Suite a
Gluckstadt, MS 39110-6986
Phone (601) 707-3771

601 Hwy 80 E
Clinton, MS 39056-5122
Phone (601) 708-1480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
907030MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gluckstadt TC Kids, LLC CurrentSince Jan 10, 2026 Accepting new patients
Trustcare Health, LLC CurrentSince Jan 10, 2026 Accepting new patients

Locations

1645 W Government St
Ste F
Brandon, MS 39042
Phone (601) 829-6600

101 Lexington Dr
Ste A
Gluckstadt, MS 39110
Phone (601) 427-5657

1051 Highland Colony Pkwy
Ste E
Ridgeland, MS 39157
Phone (601) 707-3737

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19538/brand/2/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19538/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1861217317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 EAGLES NEST CIR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106026",
            "telephone_number": "601-513-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 EAGLES NEST CIR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106026",
            "telephone_number": "601-513-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWKINS",
        "first_name": "SYDNEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

Verify at the official NPI Registry.