Mrs Shannon Davis Sims, - Medicare Certified Registered Nurse Anesthetist (crna) in Hattiesburg, MS

Mrs Shannon Davis Sims, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hattiesburg, Mississippi. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Hattiesburg Clinic, Pa and her current practice location is 415 S 28th Ave, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 261-3606.

Mrs Shannon Davis Sims is licensed to practice in Mississippi (license number R878918) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780022509.

Contact Information

Mrs Shannon Davis Sims,
415 S 28th Ave,
Hattiesburg, MS 39401-7246
(601) 261-3606
(601) 579-5383

Map and Direction




Provider's Profile

Full NameMrs Shannon Davis Sims
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience11 Years
Location415 S 28th Ave, Hattiesburg, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Shannon Davis Sims graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1780022509
  • Provider Enumeration Date: 06/14/2013
  • Last Update Date: 08/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8123252798
  • Enrollment ID: I20131015000230

Medical Identifiers

Medical identifiers for Mrs Shannon Davis Sims such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780022509NPI-NPPES
03170058MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0200XRegistered Nurse - Critical Care Medicine R878918 (Mississippi)Secondary
367500000XNurse Anesthetist, Certified Registered R878918 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hattiesburg Clinic, Pa5193706794488

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Shannon Davis Sims allows following entities to bill medicare on her behalf.
Entity NameHattiesburg Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685
Entity NamePhysicians Anesthesia Group, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407890783
PECOS PAC ID: 6103806864
Enrollment ID: O20040722001098

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shannon Davis Sims is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Shannon Davis Sims,
415 S 28th Ave,
Hattiesburg, MS 39401-7246

Ph: (601) 261-3606
Mrs Shannon Davis Sims,
415 S 28th Ave,
Hattiesburg, MS 39401-7246

Ph: (601) 261-3606

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Hattiesburg, MS

Darvin L Sibley, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5166
Jeremy Alan Vance, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5240
Ms. Kimberly A.h. Sundland, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5383
Mr. Corey White,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5383
Daniel Attaway, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    
Brandon Scott Figueiredo, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5383
Scott Evans Walker, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5166

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.