Individual provider Active NPI

Kerri Jo Whittington, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Starkville, MS
National Provider Identifier
1275007510
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
904366 Issued in MS
Practice address
12183 Ms Highway 182 Ste 108
Starkville, MS 39759-1653
Phone
(662) 268-7100
Fax
(662) 268-6080
NPI assigned
Jan 21, 2019
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 904366 MS Primary

Addresses

Primary practice location

12183 Ms Highway 182 Ste 108
Starkville, MS 39759-1653

Mailing address

12183 Ms Highway 182 Ste 108
Starkville, MS 39759-1653
Phone (662) 268-7100

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
I20210802001135 MS Practitioner - Nurse Practitioner 0840694667 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12183 Ms
182 Suite 108 Ofc 210
Starkville, MS 39759-1653
Phone 66226871001653

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
904366MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Chadwick Clinic LLC Psychiatric/Mental Health CurrentSince May 24, 2022 Accepting new patients
State of Mind Psychiatry, LLC Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Right Track Medical Group, Inc CurrentSince Jul 1, 2021 Accepting new patients
Precise Clinical Neuroscience Specialists PastSince Aug 1, 2021 Accepting new patients

Locations

12183 MS Highway 182
Ste 103
Starkville, MS 39759
Phone (662) 268-7100

12183 MS Highway 182
Ste 108
Starkville, MS 39759
Phone (662) 268-7100

200 Highway 12 E
Starkville, MS 39759
Phone (662) 498-1900

609 Brunson Dr
Tupelo, MS 38801
Phone (601) 844-7021

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11573/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/26357/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1275007510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12183 MS HIGHWAY 182 STE 108",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397591653",
            "telephone_number": "662-268-7100",
            "fax_number": "662-268-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12183 MS HIGHWAY 182 STE 108",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397591653",
            "telephone_number": "662-268-7100",
            "fax_number": "662-268-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTINGTON",
        "first_name": "KERRI",
        "middle_name": "JO",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "904366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.