SHAWANDA SUBER MD
NPI 1609579416
Family Medicine in Hattiesburg, MS

Active since March 22, 2023PECOS EnrolledAccepts Medicare Assignment
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: November 01, 2026.

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, is affiliated with Forrest General Hospital, and is a graduate of Other (2022).

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
Fax(601) 268-5058
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shawanda Suber Md 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 ID8820442205
PECOS Enrollment IDI20260810002473
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 Reassignment

Medicare enrollment records show Shawanda Suber reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
110 MILLSAPS DR
Hattiesburg, MS 39402
  • Reassigned Medicare billing, Mississippi enrollment
  • 10 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Forrest General Hospital

Acute Care Hospitals · Hattiesburg, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250078
Location6051 Us Highway 49 SouthHattiesburg, MS 39404 · Forrest County
Emergency services Birthing friendly

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 9

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

Family Medicine
110 MILLSAPS DR
HATTIESBURG, MS 39402
Family Medicine
110 MILLSAPS DR
HATTIESBURG, MS 39402
Family Medicine
110 MILLSAPS DR
HATTIESBURG, MS 39402
Family Medicine
110 MILLSAPS DR
HATTIESBURG, MS 39402
Nurse Practitioner (Family)
110 MILLSAPS DR
HATTIESBURG, MS 39402
Family Medicine
110 MILLSAPS DR
HATTIESBURG, MS 39402
Family Medicine
110 MILLSAPS DR
HATTIESBURG, MS 39402
Family Medicine
110 MILLSAPS DR
HATTIESBURG, MS 39402

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 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.

Where is Shawanda Suber located?

Shawanda Suber practices at 110 Millsaps Dr, Hattiesburg, MS 39402. The listed phone number is (601) 261-5710.

What is Shawanda Suber's specialty?

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

Is Shawanda Suber enrolled in Medicare?

Yes. Shawanda Suber 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.

Which organization bills Medicare for Shawanda Suber's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawanda Suber reassigns Medicare benefits to The Family Practice/After Hours Clinic, PLLC (Hattiesburg, MS). The 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 Shawanda Suber's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawanda Suber accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Shawanda Suber 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 Shawanda Suber affiliated with any hospitals?

According to CMS data, Shawanda Suber is affiliated with Forrest General Hospital.

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 4 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.