Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHAWANDA SUBER MD
NPI 1609579416
Family Medicine in Hattiesburg, MS

Q: What is Shawanda Suber's NPI number?

The NPI number for Shawanda Suber is 1609579416. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Q: What is Shawanda Suber's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shawanda Suber was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.

Active since March 22, 2023PECOS Enrolled

110 MILLSAPS DR, HATTIESBURG, MS 39402(601) 261-5710(601) 268-5058 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Shawanda Suber Md NPPES

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

SHAWANDA SUBER MD (NPI 1609579416) is an individual family medicine provider in Hattiesburg, Mississippi, licensed in Mississippi (37446) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609579416

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSHAWANDA SUBERCredential: MD

Location Address110 MILLSAPS DRHattiesburg, MS 39402-1347

Mailing Address110 Millsaps DrHattiesburg, MS 39402-1347 · (601) 261-5710 · Fax (601) 268-5058

Phone(601) 261-5710

Fax(601) 268-5058

Sole ProprietorNo

Enumeration DateMarch 22, 2023

Last NPPES UpdateJuly 1, 2026

NPPES CertifiedJuly 1, 2026

✔ NPI 1609579416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MS · 37446

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

110 MILLSAPS DR, Hattiesburg, MS 39402

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawanda Suber Md 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.

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.

Other Providers at the Same Location NPPES 10

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

DR. WAYNE A HUGHES MD

Family Medicine