Active NPI
Daniel Whitcomb, DO
- Family Medicine Physician
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 31767
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7334 | OK | MD | Dentist |
Practice roles
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
- 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.
-
- Emergency Medicine Physician
- Amory, MS
- NPI 1265074769
-
- Emergency Medicine Physician
- Hattiesburg, MS
- NPI 1609409440
-
- Emergency Medicine Physician
- Tupelo, MS
- NPI 1841664661
-
- Emergency Medicine Physician
- West Point, MS
- NPI 1275172736
-
- Hospitalist Physician
- Amory, MS
- NPI 1205470796
-
- Hospitalist Physician
- Pontotoc, MS
- NPI 1972189330
-
- Hospitalist Physician
- West Point, MS
- NPI 1821638578
-
- Emergency Medicine Physician
- Picayune, MS
- NPI 1033987946
-
- Emergency Medicine Physician
- Columbia, MS
- NPI 1841064110
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.