NPIMap

Individual provider Active NPI

Cameron Mitchell Wilkerson, FNP-C

  • Nurse Practitioner
  • New Albany, MS
National Provider Identifier
1386378396
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
905428 Issued in MS
Practice address
206 Oxford Rd
New Albany, MS 38652-3115
Phone
(662) 534-2227
NPI assigned
Jul 14, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 905428 MS
Nurse Practitioner 363L00000X 905428 MS Primary

Addresses

Primary practice location

206 Oxford Rd
New Albany, MS 38652-3115

Mailing address

206 Oxford Rd
New Albany, MS 38652-3115
Phone (662) 534-2227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220913001948 MS Practitioner - Nurse Practitioner 0446635338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortho Express Holding Company, LLCGroup PAC ID 1951724392, 14 clinicians

Practice addresses (Care Compare)

2601 Getwell Rd
Suite 4
Corinth, MS 38834-6762
Phone (662) 643-4533

Hospital & facility affiliations

  • Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009
  • Baptist Memorial Hospital Booneville Hospital, Booneville, MS, CCN 250044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
905428MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoxpress Holdings, LLC Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients
Spartan Orthopaedics, LLC Nurse Practitioner CurrentSince Jul 1, 2022 Accepting new patients
Ortho Express Holding Company, LLC Nurse Practitioner CurrentSince Jul 1, 2022 Accepting new patients
Spartan Orthopaedics, LLC Nurse Practitioner Current Accepting new patients
Ortho Express Holding Company, LLC Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients
Ortho Express Holding Company LLC Nurse Practitioner Past Accepting new patients

Locations

2601 Getwell Rd
Ste 4
Corinth, MS 38834
Phone (662) 643-4533

206 Oxford Rd
New Albany, MS 38652
Phone 6625342298223

6518 Goodman Rd
Ste 104
Olive Branch, MS 38654
Phone (662) 420-7350

3952C N Gloster St
Tupelo, MS 38804
Phone (662) 350-0737

Interoperability endpoints

  • Direct secure messaging: cameron.wilkerson.2@11099.direct.athenahealth.com
  • Direct secure messaging: cameron.wilkerson.1@11099.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1386378396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 OXFORD RD",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523115",
            "telephone_number": "662-534-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 OXFORD RD",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523115",
            "telephone_number": "662-534-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "CAMERON",
        "middle_name": "MITCHELL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905428",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "905428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, MS

Sources for this page

Verify at the official NPI Registry.