Alyssa Cameron Whitehead, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R866227 Issued in MS

Practice address

2750 N Church Ave
Louisville, MS 39339-2054

Phone

(662) 446-9012

Fax

(662) 446-9432

NPI assigned

Nov 10, 2014

Last updated

Jun 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

81.39 of 100Reported as group

Quality

65.98

Improvement activities

40

Cost

74.48

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15070/brand/9/csg/1/fhir/r4
• FHIR API: https://fhir-usa.unify.chbase.com/org/chocrmc-b09bb3d6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• App of Mississippi Ed, LLC

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1730687740
  Medicare reassignment NPD
• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment NPD
• Christ United Medical Clinic LLC

  dba Christ United Medical Clinic

  • Family Medicine Physician
  • Louisville, MS
  • NPI 1689231367
  Authorized official Same address or phone
• State of Mississippi - University of Mississippi Medical Center

  dba University Dentists

  • Dentist
  • Jackson, MS
  • NPI 1184765372
  NPD
• State of Mississippi - University of Mississippi Medical Center

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
  • NPI 1235019530
  NPD
• Choctaw Regional Medical Center

  dba Louisville Medical Clinic

  • Rural Health Clinic/Center
  • Louisville, MS
  • NPI 1538555347
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1043616543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 N CHURCH AVE",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392054",
            "telephone_number": "662-446-9012",
            "fax_number": "662-446-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 N CHURCH AVE",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392054",
            "telephone_number": "662-446-9012",
            "fax_number": "662-446-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "ALYSSA",
        "middle_name": "CAMERON",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R866227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Walmart Pharmacy 10-0183)
• Walgreen Co (Walgreens #15744)
• Richard W. Walker, D. C.
• Kristen Sellers Webb, PHARMD
• John Kory White, PT, DPT
• James Wilson
• Winston County Medical Foundation (Winston Medical Center)
• Winston County Medical Foundation (Winston Medical Center)
• Winston County Medical Foundation (Winston Medical Center)
• Winston County Medical Foundation (Winston Medical Center)

• Family Nurse Practitioner in Louisville, MS
• Providers in Louisville, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.