Individual provider Active NPI

Daniel Whitcomb, DO

  • Family Medicine Physician
  • Tupelo, MS
National Provider Identifier
1356961890
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31767 Issued in MS
Practice address
201 W Main St
Tupelo, MS 38804-3917
Phone
(662) 432-4106
Fax
(918) 403-6331
NPI assigned
Apr 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31767 MS Primary

Addresses

Primary practice location

201 W Main St
Tupelo, MS 38804-3917

Mailing address

201 W Main St
Tupelo, MS 38804-3917
Phone (662) 432-4106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220401000279 OK Practitioner - Family Practice 7012303928 Reassigns benefits to 2 organizations
I20240802000043 MS Practitioner - Family PracticePractitioner - Emergency Medicine 7012303928 Reassigns benefits to 8 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7334OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc. Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
RH Emergency Medicine of Highland Community LLC CurrentSince Nov 1, 2024 Accepting new patients
Relias Hospitalist Medicine Specialists of West Point LLC CurrentSince Apr 28, 2024 Accepting new patients
Relias Hospitalist Medicine Specialists of Amory LLC CurrentSince Mar 31, 2024 Accepting new patients
Relias Hospitalist Medicine Specialists of Pontotoc LLC CurrentSince Jul 6, 2024 Accepting new patients
St. John Physicians, Inc CurrentSince Jan 1, 2022 Accepting new patients
Relias Emergency Medicine Specialists of West Point, LLC CurrentSince Apr 11, 2024 Accepting new patients
Relias Emergency Medicine Specialists of Tupelo LLC CurrentSince May 24, 2024 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Relias Emergency Medicine Specialists of Hattiesburg LLC CurrentSince Aug 1, 2024 Accepting new patients
RH Emergency Medicine of Marion General LLC CurrentSince Nov 1, 2024 Accepting new patients
Relias Emergency Medicine Specialists of Amory, LLC CurrentSince Aug 19, 2024 Accepting new patients
RH Emergency Medicine of Jefferson Davis LLC PastSince Oct 27, 2024 Accepting new patients
St John Urgent Care Clinics Inc PastSince Apr 1, 2020 Accepting new patients
Forrest County General Hospital PastSince Oct 27, 2024 Accepting new patients

Locations

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

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

130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400

176 S Main St
Pontotoc, MS 38863
Phone (601) 489-5510

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

7501 Riverside Pkwy
Tulsa, OK 74136
Phone (918) 710-4200

1725 E 19th St
Ste 500
Tulsa, OK 74104
Phone (918) 403-7089

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

Interoperability endpoints

  • Direct secure messaging: danielwhitcomb@nmhs.medalliesdirect.net

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1356961890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388043917",
            "telephone_number": "662-432-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388043917",
            "telephone_number": "662-432-4106",
            "fax_number": "918-403-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITCOMB",
        "first_name": "DANIEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-24",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "31767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.