SHUNTAY MCCORMICK NPI 1467931642

Nurse Practitioner (Family) in Hattiesburg, MS

NPI 1467931642 Individual Female Years of Experience 8 Nurse Practitioner Family PECOS Enrolled Accepts Medicare Approved Payment

About SHUNTAY MCCORMICK

Shuntay Mccormick is a provider established in Hattiesburg, Mississippi and her medical specialization is nurse practitioner (family) with more than 8 years of experience. The NPI number of Shuntay Mccormick is 1467931642 and was assigned on August 2018. The practitioner's primary taxonomy code is 363LF0000X with license number 902849 (MS). The provider is registered as an individual and her NPI record was last updated 3 years ago.

A nurse practitioner (NP) like Shuntay Mccormick is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Shuntay Mccormick is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Shuntay Mccormick is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1467931642

Provider Name SHUNTAY MCCORMICK
Provider Location Address163 AUGUSTINE DR HATTIESBURG, MS 39402
Provider Mailing Address163 AUGUSTINE DR HATTIESBURG, MS 39402
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2014
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-09-2018
Last Update Date08-09-2018


Primary Taxonomy

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.902849
License StateMS

Business Address

SHUNTAY MCCORMICK
163 AUGUSTINE DR
HATTIESBURG, MS
ZIP 39402
Phone: (601) 467-6281

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Mailing Address

SHUNTAY MCCORMICK
163 AUGUSTINE DR
HATTIESBURG, MS
ZIP 39402
Phone: (601) 467-6281



NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.