Shannon Davis Sims
NPI 1780022509ActiveIndividual· Nurse Anesthetist, Certified Registered· Hattiesburg, MS
Nurse Anesthetist, Certified Registered with Hattiesburg Clinic PA and 1 other group, practicing in Hattiesburg, Mississippi. Medicare paid $12,321 for services to 99 patients in 2024. Medtronic, Inc. was the largest of 2 companies reporting payments in 2024, $29.51 in all, mostly food and beverage. Lists Forrest General Hospital as a hospital affiliation.
Overview
| NPI | 1780022509 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 14, 2013 |
| Last updated in NPPES | Aug 10, 2020 |
| Certified by provider | Aug 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | R878918 | MS |
| Registered Nurse, Critical Care Medicine | 163WC0200X | R878918 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 99 |
|---|---|
| Services billed | 105 across 24 procedure codes |
| Paid by Medicare | $12,321 |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Hattiesburg Clinic PAHattiesburg, MS · 537 clinicians
- Physicians Anesthesia Group, P.A.Jackson, MS · 55 clinicians
Hospital affiliation
- Forrest General HospitalHattiesburg, MS
Industry payments (Open Payments)
- 2024$29.51 · 2 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $15.46 | 1 |
| Vertex Pharmaceuticals Incorporated | $14.05 | 1 |
What the 2024 payments were for
- Food and Beverage$29.51 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 102 nurse anesthetists in Hattiesburg · All nurse anesthetists in Mississippi