MRS. SHAWN FORTENBERRY CHURCHILL COY (FNP-BC, PMHNP-BC) – Registered Nurse First Assistant, NPI 1255425922
Registered Nurse First Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,565 NURSE PRACTITIONER in MS
Provider Addresses for MRS. SHAWN FORTENBERRY CHURCHILL COY (FNP-BC, PMHNP-BC)
190 W MAIN ST
CAMDEN, TN 383201609
Phone: (731) 213-2662
Fax: (731) 213-2539
Type: Mailing
3600 BLUECUTT RD STE 201
COLUMBUS, MS 397051397
Phone: (601) 942-1855
Fax: (662) 329-9056
Type: Mailing
111 HARBOR DR # 8
CLIFTON, TN 384255648
Phone: (601) 942-1855
Type: Location
971, Lakeland Drive, Jackson, Hinds County, Mississippi, 39216, United States
SUITE 1250
JACKSON, MS 392164643
Phone: (601) 366-1011
Fax: (601) 366-7311
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $382.
Total Amount is formed as General ($382) + Research ($0) + Ownership ($0) = $382.
Last reported payment date: 2024-07-30 • Largest payer in this snapshot: Alkermes, Inc. ($137).
Total Amount
$382
General + Research + Ownership
Payments
19
Total payment records
General Amount
$382
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $137 |
| ABBVIE INC. | $102 |
| Otsuka America Pharmaceutical, Inc. | $76 |
| Janssen Pharmaceuticals, Inc | $45 |
| IDORSIA PHARMACEUTICALS US INC | $22 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-04-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221007002050 | I | Nurse Practitioner | TN | TBD |
| I20240411000035 | I | Nurse Practitioner | MS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 84 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 19 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 22 | 21 | $0 |
Insurance plans in this area (ZIP 38320)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | TN |
Reviews
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