SHC MEDICAL PARTNERS OF MISSISSIPPI, LLC
NPI 1720837396
Nurse Practitioner in Ridgeland, MS

Active since May 16, 2024
1000 HIGHLAND COLONY PKWY, RIDGELAND, MS 39157(501) 267-9870 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shc Medical Partners Of Mississippi, Llc NPPES

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

SHC MEDICAL PARTNERS OF MISSISSIPPI, LLC (NPI 1720837396) is a healthcare organization registered as a nurse practitioner in Ridgeland, Mississippi and active in the NPI registry since May 2024. The organization lists Sarah Altstadt, Provider Enrollment Specialist, as its authorized official.

NPPES Registry Identity

NPI1720837396
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameSHC MEDICAL PARTNERS OF MISSISSIPPI, LLC
Location Address1000 HIGHLAND COLONY PKWYRidgeland, MS 39157-2073
Mailing Address805 N Whittington PkwyLouisville, KY 40222-7101
Organization SubpartNo
Authorized OfficialSarah AltstadtProvider Enrollment Specialist · (502) 630-7494
Enumeration DateMay 16, 2024
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
✔ NPI 1720837396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1000 HIGHLAND COLONY PKWY, Ridgeland, MS 39157

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shc Medical Partners Of Mississippi, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Shc Medical Partners Of Mississippi, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1881909125
1056 HOLLAND AVE
Philadelphia, MS 39350
(601) 656-8545
✔ PECOS✔ Accepts Medicare65 mi
Nurse Practitioner
NPI 1326565763
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 264-6000
✔ PECOS✔ Accepts Medicare91 mi
Nurse Practitioner
NPI 1619440534
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5620
✔ PECOS✔ Accepts Medicare91 mi
Nurse Practitioner
NPI 1376504357
1911 READ RD
Picayune, MS 39466
(601) 251-3500
✔ PECOS✔ Accepts Medicare134 mi

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

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 Shc Medical Partners Of Mississippi, LLC's NPI number?

The NPI number for Shc Medical Partners Of Mississippi, LLC is 1720837396. It was assigned to this organization in the NPPES registry on May 16, 2024.

Where is Shc Medical Partners Of Mississippi, LLC located?

Shc Medical Partners Of Mississippi, LLC is located at 1000 Highland Colony Pkwy, Ridgeland, MS 39157. The listed phone number is (501) 267-9870.

What is Shc Medical Partners Of Mississippi, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shc Medical Partners Of Mississippi, LLC enrolled in Medicare?

Yes. Shc Medical Partners Of Mississippi, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shc Medical Partners Of Mississippi, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Shc Medical Partners Of Mississippi, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shc Medical Partners Of Mississippi, LLC was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.