Christy Lynn Shaw, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902685 Issued in MS

Practice address

6809 Highway 90 E
Ocean Springs, MS 39564-8655

Phone

(228) 215-3652

NPI assigned

Oct 13, 2018

Last updated

Nov 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greene County Family Medical ClinicGroup PAC ID 5991867954, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Greene County Hospital Hospital, Leakesville, MS, CCN 250782

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christy.shaw.1@23704.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IBHCBA

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.

• Greene County Family Medical Clinic

  • Rural Health Clinic/Center
  • Leakesville, MS
  • NPI 1689821126
  Medicare reassignment Care Compare group NPD
• Community Medical Center

  • Rural Health Clinic/Center
  • Lucedale, MS
  • NPI 1194734913
  Medicare reassignment NPD
• Gina Escher CFNP

  • Urgent Care Clinic/Center
  • Ocean Springs, MS
  • NPI 1841695517
  Medicare reassignment NPD
• Inpatient Physician Services

  • Hospitalist Physician
  • Lucedale, MS
  • NPI 1427363928
  NPD

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

• George County Hospital

  dba Greene County Hospital

  • Critical Access Hospital
  • Leakesville, MS
  • NPI 1275796856
  Care Compare affiliation

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

{
    "created_epoch": "1539388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1952876278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 RIVER BLUFFS DR",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395656629",
            "telephone_number": "228-218-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6809 HIGHWAY 90 E",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395648655",
            "telephone_number": "228-215-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CHRISTY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-13",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Shabazz
• Terri F Shannon
• Joye W Shanteau, PH.D.
• Manjari Sharma, MD
• Tniyah Shavers
• Laura Shaw, PT, DPT
• Kathleen Marie Sheffield, M.ED., LPC, NCC
• Sheli Milam MD PA
• Sheli Milam, MD
• Hristo Shivarov, M.D.

• Family Nurse Practitioner in Ocean Springs, MS
• Providers in Ocean Springs, 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 Nov 9, 2020; 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.