Individual provider Active NPI

Sherry A Beard, FNP

  • Family Nurse Practitioner
  • New Albany, MS
National Provider Identifier
1972022382
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
869814 Issued in MS
Practice address
474 W Bankhead St
New Albany, MS 38652-3319
Phone
(662) 316-3144
Fax
(662) 316-3144
NPI assigned
Sep 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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 869814 MS Primary

Addresses

Primary practice location

474 W Bankhead St
New Albany, MS 38652-3319

Mailing address

401 Alcorn Dr
Ste 2C
Corinth, MS 38834-9073
Phone (662) 416-2684

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
I20171209000348 MS Practitioner - Nurse Practitioner 7810255312 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Mississippi PLLCGroup PAC ID 3678832029, 192 clinicians

Practice addresses (Care Compare)

1400 Hwy 72 E
Corinth, MS 38834-6565
Phone (931) 253-1110

50 Veterans Memorial Dr
Kosciusko, MS 39090-3424
Phone (662) 307-2884

517 City Ave S
Ripley, MS 38663-2517
Phone (662) 587-8206

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
869814MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Regional Health Center CurrentSince Jun 11, 2018 Accepting new patients
Magnolia Regional Health Center CurrentSince Jun 11, 2018 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 15, 2025 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 15, 2025 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Dec 1, 2019 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Dec 1, 2019 Accepting new patients

Locations

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

703 Alcorn Dr
Ste 109
Corinth, MS 38834
Phone (662) 286-1499

401 Alcorn Dr
Ste 2C
Corinth, MS 38834
Phone (662) 286-9255

401 Alcorn Dr
Ste 2D
Corinth, MS 38834
Phone (662) 293-1565

7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1972022382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ALCORN DR",
            "address_2": "STE 2C",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349073",
            "telephone_number": "662-416-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 W BANKHEAD ST",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523319",
            "telephone_number": "662-316-3144",
            "fax_number": "662-316-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "SHERRY",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "869814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, MS

Sources for this page

Verify at the official NPI Registry.