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SHUNTAY MCCORMICK
NPI 1467931642
Nurse Practitioner - Family in Hattiesburg, MS

Active since August 09, 2018PECOS Enrolled
163 AUGUSTINE DR, HATTIESBURG, MS 39402(601) 467-6281 Get Directions Write a Review

NPPES record last updated: August 9, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shuntay Mccormick NPPES

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

SHUNTAY MCCORMICK (NPI 1467931642) is an individual family provider in Hattiesburg, Mississippi, licensed in Mississippi (902849) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467931642
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHUNTAY MCCORMICK
Location Address163 AUGUSTINE DRHattiesburg, MS 39402-7836
Mailing Address163 Augustine DrHattiesburg, MS 39402-7836 · (601) 467-6281
Phone(601) 467-6281
Sole ProprietorNo
Enumeration DateAugust 9, 2018
✔ NPI 1467931642 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
License✔ Licensed in MS · 902849
163 AUGUSTINE DR, Hattiesburg, MS 39402
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Molina Healthcare, Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shuntay Mccormick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shuntay Mccormick reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lilly Pad Home Health, LLC
4.8 mi
Community/Behavioral Health
1507 HARDY ST STE 201
Hattiesburg, MS 39401
  • Reassigned Medicare billing, Mississippi enrollment
  • 2 clinicians in this Medicare group
NPI 1396250031 (601) 410-5836
Provider Profile
81 mi
Pulmonary Disease
2506 LAKELAND DR STE 300
Flowood, MS 39232
  • Reassigned Medicare billing, Mississippi enrollment
  • 16 clinicians in this Medicare group
NPI 1093819799 (601) 326-2599
Community Care Health Network LLC
365 mi
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Mississippi enrollment
  • 195 clinicians in this Medicare group
NPI 1619368842 (877) 564-3627

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39402 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.

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 Shuntay Mccormick's NPI number?

The NPI number for Shuntay Mccormick is 1467931642. It was assigned to this individual provider in the NPPES registry on August 9, 2018.

Where is Shuntay Mccormick located?

Shuntay Mccormick practices at 163 Augustine Dr, Hattiesburg, MS 39402. The listed phone number is (601) 467-6281.

What is Shuntay Mccormick's specialty?

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

Is Shuntay Mccormick enrolled in Medicare?

Yes. Shuntay Mccormick is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shuntay Mccormick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shuntay Mccormick reassigns Medicare benefits to 3 organizations: Lilly Pad Home Health, LLC (Hattiesburg, MS), (Flowood, MS) and Community Care Health Network LLC (Nashville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shuntay Mccormick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shuntay Mccormick accept?

Health plans from Cigna Healthcare, Molina Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Shuntay Mccormick 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.

When was this NPI record last updated?

The NPPES record for Shuntay Mccormick was last updated on August 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.