Sharon Hudson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F08220268 Issued in MS

Practice address

3150 Corban Rd
Fayette, MS 39069-5171

Phone

(601) 597-8137

NPI assigned

Aug 19, 2022

Last updated

Aug 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sharon Shaw Former name

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Claiborne County Family Health CenterGroup PAC ID 3072412105, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Claiborne County Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Port Gibson, MS
  • NPI 1235133968
  Medicare reassignment Care Compare group NPD
• Claiborne County Family Health Center, Inc.

  dba A W Watson Elementary School Base Clinic

  • Federally Qualified Health Center (FQHC)
  • Port Gibson, MS
  • NPI 1235394966
  NPD (past)

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1972221463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 CORBAN RD",
            "city": "FAYETTE",
            "state": "MS",
            "postal_code": "390695171",
            "telephone_number": "601-597-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 CORBAN RD",
            "city": "FAYETTE",
            "state": "MS",
            "postal_code": "390695171",
            "telephone_number": "601-597-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "SHARON",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "F08220268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "SHAW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gloria W Gray
• Irving O Grayson Jr.
• Cashy Tiara Hammitte, FNP
• Harmony Hope Haven LLC (Harmony Hope ABA)
• Janecia Herrington
• Kadeshia Hunt, PCMHT
• Veronica R Hutchins-Clemons, NP
• Priscilla Jackson, CFNP
• Veronica Mays Jackson
• Jefferson Comprehensive Health Center Inc (Jefferson Comprehensive Health Center, Inc. Medical/Dental Mobile Unit)

• Family Nurse Practitioner in Fayette, MS
• Providers in Fayette, 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 Aug 19, 2022; 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.