Angie Michelle Whitehurst, CFNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R851652 Issued in MS

Practice address

109 E Quitman St
Iuka, MS 38852-1936

Phone

(662) 423-5007

Fax

(662) 423-5007

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Relias Emergency Medicine Specialists of Amory, LLCGroup PAC ID 4486088853, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Mississippi Medical Center-Gilmore Amory Hospital, Amory, MS, CCN 250025

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angiewhitehurst@nmhs.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.

• Relias Emergency Medicine Specialists of Amory, LLC

  • Emergency Medicine Physician
  • Amory, MS
  • NPI 1265074769
  Medicare reassignment Care Compare group NPD
• Magnolia Physician Services, Inc

  • Internal Medicine Physician
  • Corinth, MS
  • NPI 1073827549
  Medicare reassignment NPD
• Relias Emergency Medicine Specialists of Tupelo LLC

  • Emergency Medicine Physician
  • Tupelo, MS
  • NPI 1841664661
  Medicare reassignment NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  MS, Nurse Practitioner

  Medicare reassignment NPD
• Magnolia Ear Nose & Throat

  • Otolaryngology Physician
  • Corinth, MS
  • NPI 1881132124
  NPD
• North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1376969683
  NPD
• Corinth Family Care Center PC

  • Family Medicine Physician
  • Corinth, MS
  • NPI 1124041132
  NPD (past)
• Eze Clinic P.C.

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1144253279
  NPD (past)
• Whiteville Medical Clinic, LLC

  • Family Nurse Practitioner
  • Whiteville, TN
  • NPI 1073754636
  NPD (past)

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

• Monroe Health Services, Inc.

  • General Acute Care Hospital
  • Amory, MS
  • NPI 1164993457
  Care Compare affiliation

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1285741884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E QUITMAN ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521936",
            "telephone_number": "662-423-5007",
            "fax_number": "662-423-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E QUITMAN ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521936",
            "telephone_number": "662-423-5007",
            "fax_number": "662-423-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHURST",
        "first_name": "ANGIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R851652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07837508",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC",
            "identifier": "35824",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS. BOARD OF NURSING",
            "identifier": "R851652",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Keith Vuncannon
• Wal-Mart Stores East LP
• Marcia Lynn Washington
• Wellness & Clinical Solutions LLC
• Abby White, SLP
• Keira Whitehurst
• Ava Whitfield, SLP
• Anna Kate Wilbanks, FNP-C
• Alison Paige Wildmon
• Ria Harlie Wood

• Nurse Practitioner in Iuka, MS
• Providers in Iuka, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.