Individual provider Active NPI

Wendell Tyrone Carney, NP

  • Nurse Practitioner
  • Quitman, MS
National Provider Identifier
1043638869
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R862287 Issued in MS
Practice address
109 E Donald St
Quitman, MS 39355-2310
Phone
(601) 513-8508
Fax
(601) 557-4181
NPI assigned
Mar 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R862287 MS Primary

Addresses

Primary practice location

109 E Donald St
Quitman, MS 39355-2310

Mailing address

PO Box 838
Quitman, MS 39355-0838
Phone (601) 513-8508

Other practice location 1

605 S Archusa Ave
Quitman, MS 39355-2331
Phone (601) 527-3145

Other practice location 2

111 Main St
Quitman, MS 39355-2119
Phone (601) 557-5105

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140729002044 MS Practitioner - Nurse Practitioner 2961628805 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R862287MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covington County Hospital CurrentSince Jul 10, 2017 Accepting new patients
Medical Services of Meridian, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Covington County Hospital Current Accepting new patients
North Sunflower Medical Center Current Accepting new patients
Field Memorial Community Hospital CurrentSince May 1, 2022 Accepting new patients
Field Memorial Community Hospital CurrentSince May 1, 2022 Accepting new patients
Field Memorial Community Hospital Current Accepting new patients
Nurse Practitioner House Calls CurrentSince Feb 1, 2017 Accepting new patients
Covington County Hospital CurrentSince Jul 10, 2017 Accepting new patients

Locations

178 Highway 24 E
Centreville, MS 39631
Phone (601) 890-0500

3275 Highway 49
Ste E
Collins, MS 39428
Phone (601) 765-6292

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

111 Main St
Quitman, MS 39355
Phone (601) 557-5105

109 E Donald St
Quitman, MS 39355
Phone (601) 513-8508

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/covingc-3983785e

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1043638869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 838",
            "city": "QUITMAN",
            "state": "MS",
            "postal_code": "393550838",
            "telephone_number": "601-513-8508",
            "fax_number": "601-557-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E DONALD ST",
            "city": "QUITMAN",
            "state": "MS",
            "postal_code": "393552310",
            "telephone_number": "601-513-8508",
            "fax_number": "601-557-4181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 S Archusa Ave",
            "address_purpose": "LOCATION",
            "city": "Quitman",
            "state": "MS",
            "postal_code": "393552331",
            "country_code": "US",
            "telephone_number": "601-527-3145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Main St",
            "address_purpose": "LOCATION",
            "city": "Quitman",
            "state": "MS",
            "postal_code": "393552119",
            "country_code": "US",
            "telephone_number": "601-557-5105",
            "fax_number": "601-557-5106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "WENDELL",
        "middle_name": "TYRONE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-29",
        "last_updated": "2026-08-16",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R862287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quitman, MS

Sources for this page

Verify at the official NPI Registry.