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MS. COURTNEY WILLIAMSON SANDRIDGE NP-C
NPI 1235695768
Nurse Practitioner - Family in Southaven, MS

Active since February 20, 2019PECOS EnrolledAccepts Medicare Assignment
95.96/100
CMS Quality Rating
363 SOUTHCREST CIR STE 103, SOUTHAVEN, MS 38671(662) 772-5222(662) 772-5957 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, Dec 29, 2022, Mar 15, 2019 and 1 more (4 updates tracked since 2019).

About Ms. Courtney Williamson Sandridge Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. COURTNEY WILLIAMSON SANDRIDGE NP-C (NPI 1235695768) is an individual family provider in Southaven, Mississippi, licensed in Mississippi (903204) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Desoto, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1235695768
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. COURTNEY WILLIAMSON SANDRIDGECredential: NP-C
Location Address363 SOUTHCREST CIR STE 103Southaven, MS 38671-4737
Mailing Address965 Ridge Lake Blvd Ste 315Memphis, TN 38120-9401
Phone(662) 772-5222
Fax(662) 772-5957
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 20, 2019
Last NPPES UpdateJune 17, 20254 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1235695768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MS · 903204✔ Licensed in TN · 25843
363 SOUTHCREST CIR STE 103, Southaven, MS 38671
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12149 Stateline Rd WSouthaven, MS 38671-1222 · Phone (662) 342-1112
Location 22100 Exeter RdGermantown, TN 38138-3966 · Phone (901) 757-1350
Location 37736 Airways BlvdSouthaven, MS 38671-5306 · Phone (662) 772-5222 · Fax (662) 772-3719

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Courtney Williamson Sandridge Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719228360
PECOS Enrollment IDI20190408001749, I20230122000032
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services36 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
42 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services24 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
17 services15 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
16 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250141
Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38671 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.92
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$69.11 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$32.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GINGER LEE STEWART FNP
Nurse Practitioner (Family)
363 SOUTHCREST CIR STE 103
SOUTHAVEN, MS 38671
Desoto County (662) 772-5222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Sandridge's NPI number?

The NPI number for Courtney Sandridge is 1235695768. It was assigned to this individual provider in the NPPES registry on February 20, 2019.

Where is Courtney Sandridge located?

Courtney Sandridge practices at 363 Southcrest Cir Ste 103, Southaven, MS 38671. The listed phone number is (662) 772-5222.

What is Courtney Sandridge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Courtney Sandridge enrolled in Medicare?

Yes. Courtney Sandridge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Courtney Sandridge accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 9 other insurers list Courtney Sandridge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Courtney Sandridge affiliated with any hospitals?

According to CMS data, Courtney Sandridge is affiliated with Baptist Memorial Hospital Desoto.

When was this NPI record last updated?

The NPPES record for Courtney Sandridge was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.