Mrs Shawn Fortenberry Churchill Coy, FNP-BC, PMHNP-BC - Medicare Nurse Practitioner in Columbus, MS

  1. Home
  2. Nurse Practitioner
  3. MS
  4. Columbus
Mrs Shawn Fortenberry Churchill Coy, FNP-BC, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Columbus, Mississippi. Her current practice location is 3600 Bluecutt Rd Ste 201, Columbus, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 329-3973.

Mrs Shawn Fortenberry Churchill Coy is licensed to practice in Mississippi (license number 905512) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255425922.

Contact Information

Mrs Shawn Fortenberry Churchill Coy, FNP-BC, PMHNP-BC
3600 Bluecutt Rd Ste 201,
Columbus, MS 39705-1397
(662) 329-3973
(662) 329-9056

Map and Direction




Provider's Profile

Full NameMrs Shawn Fortenberry Churchill Coy
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location3600 Bluecutt Rd Ste 201, Columbus, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255425922
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 07/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9739565185
  • Enrollment ID: I20240411000035

Medical Identifiers

Medical identifiers for Mrs Shawn Fortenberry Churchill Coy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255425922NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WR0006XRegistered Nurse - Registered Nurse First Assistant R789934 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family 905512 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family APN0000032347 (Tennessee)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APN0000032347 (Tennessee)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 905512 (Mississippi)Primary

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 Shawn Fortenberry Churchill Coy allows following entities to bill medicare on her behalf.
Entity NameFamily Care Clinic Of Ripley
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043386642
PECOS PAC ID: 3072514009
Enrollment ID: O20070118000156
Entity NameDutch Medical Clinics, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215276175
PECOS PAC ID: 9234376088
Enrollment ID: O20130515000064
Entity NameMagnolia Regional Behavioral Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033656889
PECOS PAC ID: 3375820541
Enrollment ID: O20170426001927
Entity NameHeale Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093410243
PECOS PAC ID: 7416316880
Enrollment ID: O20230703000387

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 Shawn Fortenberry Churchill Coy 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 Shawn Fortenberry Churchill Coy, FNP-BC, PMHNP-BC
3600 Bluecutt Rd Ste 201,
Columbus, MS 39705-1397

Ph: (601) 942-1855		Mrs Shawn Fortenberry Churchill Coy, FNP-BC, PMHNP-BC
3600 Bluecutt Rd Ste 201,
Columbus, MS 39705-1397

Ph: (662) 329-3973

Reviews and Comments


Nurse Practitioner Nurses in Columbus, MS

Mrs. Celia Lasky Kidder, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2110 5th St N, Columbus, MS 39705
Phone: 662-243-2435    Fax: 662-328-7037
Dr. Janice Davidson, PHD FNP-BC FAANP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 514 7th St S, Columbus, MS 39701
Phone: 662-328-6293    
Misti Garnett, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 56 Dutch Ln, Columbus, MS 39702
Phone: 662-329-3808    Fax: 662-329-3873
Tiffany Watson, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3600 Bluecutt Rd Ste 101, Columbus, MS 39705
Phone: 662-570-4770    
John S Dornan, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 425 Hospital Dr, Suite 4, Columbus, MS 39705
Phone: 662-240-0650    Fax: 662-240-0483
Christopher Pennington, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 114 N Lehmberg Rd, Columbus, MS 39702
Phone: 662-329-2955    
Mrs. Janet Myers, AGACNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2520 5th St N, Columbus, MS 39705
Phone: 662-244-2042    Fax: 662-244-3287

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.