Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Courtney Williamson Sandridge, NP-C

Individual provider Family Nurse Practitioner · NPI 1235695768

MS. Courtney Williamson Sandridge, NP-C is a Nurse Practitioner in Southaven, Mississippi. Qualified in 2018, 8 years ago. Practices with Baptist Memorial Medical Group, Inc, a 571-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Mississippi and Tennessee.

Years since qualifying
8
Licensed in
MS, TN
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

363 Southcrest Cir Ste 103
Southaven, MS 38671-4737
Phone: (662) 772-5222
Fax: (662) 772-5957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 7736 Airways Blvd, Southaven, MS 38671-5306 — (662) 772-5222
  • 2149 Stateline Rd W, Southaven, MS 38671-1222 — (662) 342-1112
  • 2100 Exeter Rd, Germantown, TN 38138-3966 — (901) 757-1350

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 903204 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 25843 (TN)

Record details

NPI number1235695768
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedFebruary 20, 2019
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Baptist Memorial Medical Group, Inc. — 571 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Southaven