Individual provider Active NPI

Shanesse Spratt, MD

  • Emergency Medicine Physician
  • Jackson, MS
National Provider Identifier
1932770864
Registry record updated Jul 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
33290 Issued in MS
Practice address
2500 N State St
Jackson, MS 39216-4500
Phone
(601) 984-1000
NPI assigned
Jul 1, 2021
Last updated
Jul 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 33290 MS Primary

Addresses

Primary practice location

2500 N State St
Jackson, MS 39216-4500

Mailing address

2500 N State St
Jackson, MS 39216-4500

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
I20250320002797 MS Practitioner - Emergency Medicine 3577003961 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
RH Emergency Medicine of Cleveland LLCGroup PAC ID 4183105232, 14 clinicians

Practice addresses (Care Compare)

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-4000

901 E Sunflower Rd
Cleveland, MS 38732-2833
Phone (662) 432-4106

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33290MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RH Emergency Medicine of Highland Community LLC Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
RH Emergency Medicine of Cleveland LLC Emergency Medicine CurrentSince Feb 1, 2026 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Grenada Emergency Group, LLC Emergency Medicine CurrentSince Apr 20, 2025 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jan 14, 2025 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jun 17, 2025 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
RH Emergency Medicine of Marion General LLC Emergency Medicine CurrentSince Apr 2, 2025 Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Jan 14, 2025 Accepting new patients

Locations

901 E Sunflower Rd
Cleveland, MS 38732
Phone (662) 846-0061

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000

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

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

Interoperability endpoints

  • Direct secure messaging: shanessespratt@magnolia.medalliesdirect.net
  • Direct secure messaging: sspratt133153@ummc.direct-ci.com
  • Direct secure messaging: sspratt517325@direct.bmhcc.org

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720310400000",
    "number": "1932770864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRATT",
        "first_name": "SHANESSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "33290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.