Elizabeth Brooke Wilbanks

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R874715 Issued in MS

Practice address

2000 E Shiloh Rd
Corinth, MS 38834-3724

Phone

(662) 287-6999

NPI assigned

Aug 13, 2012

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

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Magnolia Internal MedicineGroup PAC ID 7810273026, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Magnolia Regional Health Center HH & Hospice Agency Home health agency, Corinth, MS, CCN 257117
• HMC Home Health, LLC Home health agency, Savannah, TN, CCN 447264
• Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabethwilbanks@magnolia.medalliesdirect.net

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.

• Magnolia Internal Medicine

  • Internal Medicine Physician
  • Corinth, MS
  • NPI 1912443722
  Medicare reassignment Care Compare group NPD
• Corinth Medical Specialists

  • Internal Medicine Physician
  • Corinth, MS
  • NPI 1467467811
  Medicare reassignment NPD
• Magnolia Regional Health Center

  • Internal Medicine Physician
  • Corinth, MS
  • NPI 1649721457
  Medicare reassignment NPD
• Magnolia Regional Health Center

  • General Acute Care Hospital
  • Corinth, MS
  • NPI 1699756445
  NPD

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

• Magnolia Regional Health Center

  • Home Health Agency
  • Corinth, MS
  • NPI 1063576247
  Care Compare affiliation
• Magnolia Regional Health Center

  • General Acute Care Hospital
  • Corinth, MS
  • NPI 1699756445
  Care Compare affiliation
• HMC Home Health, LLC

  • Home Health Agency
  • Savannah, TN
  • NPI 1255669636
  Care Compare affiliation

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1174870802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 COUNTY ROAD 518",
            "city": "RIENZI",
            "state": "MS",
            "postal_code": "388659001",
            "telephone_number": "662-603-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E SHILOH RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388343724",
            "telephone_number": "662-287-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBANKS",
        "first_name": "ELIZABETH",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R874715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03200304",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie West
• Elizabeth Booker White
• Jaylene McCrary Whitehurst, M.ED., LPC, NCC
• Whitfield Nursing Home, Inc.
• Jim T Wigginton, NP
• Tiffany Hope Wilbanks
• Amanda J. Wilburn, PHARM.D., CDE
• William G. Jackson, M.D.,P.a.
• Christina Stricklen Williams, FNP
• Jacqueline D Williams

• Family Nurse Practitioner in Corinth, MS
• Providers in Corinth, 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 Nov 18, 2013; 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.