Individual provider Active NPI

Sheena Renell Smith Smoot, FNP

  • Family Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1982122552
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902180 Issued in MS
Practice address
2510 Lakeland Dr
Flowood, MS 39232-9513
Phone
(601) 355-1234
NPI assigned
Sep 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 902180 MS
Family Nurse Practitioner 363LF0000X 902180 MS Primary

Addresses

Primary practice location

2510 Lakeland Dr
Flowood, MS 39232-9513

Mailing address

2510 Lakeland Dr
Flowood, MS 39232-9513
Phone (601) 355-1234

Other practice location 1

969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 200-4644

Other practice location 2

811 Highway 49 S
Richland, MS 39218-9408
Phone (601) 932-5060

Other practice location 3

971 Lakeland Dr Ste 250
Jackson, MS 39216-4620
Phone (601) 355-1234

Other identifiers 1

IdentifierTypeStateIssuer
02872582MedicaidMS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ssmith2458783@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

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
I20171213000280 MS Practitioner - Nurse Practitioner 6800154238 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
St. Dominic Medical Associates LLCGroup PAC ID 0446303168, 130 clinicians

Practice addresses (Care Compare)

106 Highland Way
Madison, MS 39110-6933

969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 200-3100

Hospital & facility affiliations

  • St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902180MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Clinic, Inc. CurrentSince Mar 6, 2020 Accepting new patients
Gastrointestinal Associates, P.a. CurrentSince Mar 21, 2019 Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Mar 6, 2020 Accepting new patients
St Dominic Medical Associates LLC CurrentSince Feb 4, 2024 Accepting new patients
Gastrointestinal Associates, PA CurrentSince Mar 21, 2019 Accepting new patients
Gastrointestinal Associates, P.a. Current Accepting new patients
St Dominic Medical Associates LLC CurrentSince Feb 4, 2024 Accepting new patients
St. Dominic Medical Associates LLC Current Accepting new patients
Family Health Care Clinic, Inc. Current Accepting new patients
East Metro Family Medical Clinic PastSince Nov 14, 2006 Accepting new patients
St Dominic Medical Associates LLC Family Past Accepting new patients
Family Health Care Clinic, Inc Past Accepting new patients
Dra Health Services LLC Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

1551 W Government St
Brandon, MS 39042
Phone (601) 825-3163

290 Highway 51 N
Brookhaven, MS 39601
Phone (601) 823-1710

1307 Airport Rd N
Ste 2
Flowood, MS 39232
Phone (601) 936-3485

2510 Lakeland Dr
Flowood, MS 39232
Phone (601) 355-1234

969 Lakeland Dr
Jackson, MS 39216
Phone (601) 200-4644

971 Lakeland Dr
Ste 250
Jackson, MS 39216
Phone (601) 200-4860

106 Highland Way
Ste 202
Madison, MS 39110
Phone (601) 200-3376

4635 Highway 80 E
Pearl, MS 39208
Phone (601) 933-2500

100 N Brooks Ave
Pelahatchie, MS 39145
Phone (601) 854-6805

Interoperability endpoints

  • Direct secure messaging: sheena.smoot@fhcc.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/9272/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ssmith2458783@direct.casso.us.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1982122552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329513",
            "telephone_number": "601-355-1234",
            "fax_number": "601-352-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329513",
            "telephone_number": "601-355-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "969 Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164606",
            "country_code": "US",
            "telephone_number": "601-200-4644",
            "fax_number": "601-200-4645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 Highway 49 S",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "MS",
            "postal_code": "392189408",
            "country_code": "US",
            "telephone_number": "601-932-5060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "971 Lakeland Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164620",
            "country_code": "US",
            "telephone_number": "601-355-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMOOT",
        "first_name": "SHEENA",
        "middle_name": "RENELL SMITH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "902180",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02872582",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssmith2458783@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-EPIC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ssmith2458783@direct.casso.us.com",
            "address_1": "971 Lakeland Dr Ste 250",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392164620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "971 Lakeland Dr Ste 250",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392164620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.