Individual provider Active NPI

Adam L Whitaker, DO

  • Emergency Medicine Physician
  • Biloxi, MS
National Provider Identifier
1134574429
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
26860 Issued in MS
Practice address
150 Reynoir St
Biloxi, MS 39530-4130
Phone
(228) 432-1571
NPI assigned
Apr 25, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 26860 MS Primary

Addresses

Primary practice location

150 Reynoir St
Biloxi, MS 39530-4130

Mailing address

201 W Wingate Rd
New Augusta, MS 39462-9740
Phone (601) 964-3640

Other practice location 1

201 W Wingate Rd
New Augusta, MS 39462-9740
Phone (601) 964-3640

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200709000736 MS Practitioner - Emergency Medicine 1355697129 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
William Carey University College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relias Emergency Medicine Specialists of Hattiesburg LLCGroup PAC ID 9032549142, 46 clinicians

Practice addresses (Care Compare)

6051 U S Hwy 49
Hattiesburg, MS 39401-7200
Phone (601) 288-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
42.86 of 100Reported as group
Quality
0
Improvement activities
40
Cost
74.29

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Relias Emergency Medicine Specialists of Hattiesburg LLC Emergency Medicine CurrentSince Nov 23, 2022 Accepting new patients
Hattiesburg HB Medical Services LLC Emergency Medicine CurrentSince Jul 20, 2023 Accepting new patients
Jackson HB Medical Services LLC Emergency Medicine CurrentSince Oct 14, 2023 Accepting new patients
App of Mississippi Ed, LLC Emergency Medicine CurrentSince Jun 17, 2020 Accepting new patients

Locations

150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817

161 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1134574429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W WINGATE RD",
            "city": "NEW AUGUSTA",
            "state": "MS",
            "postal_code": "394629740",
            "telephone_number": "601-964-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 REYNOIR ST",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395304130",
            "telephone_number": "228-432-1571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 W Wingate Rd",
            "address_purpose": "LOCATION",
            "city": "New Augusta",
            "state": "MS",
            "postal_code": "394629740",
            "country_code": "US",
            "telephone_number": "601-964-3640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "ADAM",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-25",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "26860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.