Individual provider Active NPI

Stephanie Lynn Whitmire, AGPCNP-BC

  • Nurse Practitioner
  • Columbus, MS
National Provider Identifier
1669933669
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
906649 Issued in MS
Practice address
670 Leigh Dr
Columbus, MS 39705-3014
Phone
(662) 328-1012
Fax
(662) 328-1507
NPI assigned
Mar 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X R872661 MS
Nurse Practitioner 363L00000X 906649 MS Primary

Addresses

Primary practice location

670 Leigh Dr
Columbus, MS 39705-3014

Mailing address

2007 Highway 82
Ethelsville, AL 35461-3097
Phone (662) 386-0501

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
I20241028001661 MS Practitioner - Nurse Practitioner 0042743197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

670 Leigh Dr
Columbus, MS 39705-3014
Phone (662) 328-1012

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R872661MSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Columbus Orthopaedic Clinic, P.a. CurrentSince Sep 1, 2024 Accepting new patients
The Columbus Orthopaedic Clinic, P.a. Multi-Specialty CurrentSince Sep 1, 2024 Accepting new patients
The Columbus Orthopaedic Clinic, P.a. Past Accepting new patients

Locations

8613 MS Highway 12
Ackerman, MS 39735
Phone (662) 285-4400

670 Leigh Dr
Columbus, MS 39705
Phone (662) 327-4540

640 Leigh Dr
Columbus, MS 39705
Phone (662) 328-7123

4 Professional Plz
Starkville, MS 39759
Phone (662) 323-3684

225 Tomlinson Dr
Starkville, MS 39759
Phone (662) 328-1012

Organizations & group practices 3

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 1

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": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1669933669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 HIGHWAY 82",
            "city": "ETHELSVILLE",
            "state": "AL",
            "postal_code": "354613097",
            "telephone_number": "662-386-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 LEIGH DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397053014",
            "telephone_number": "662-328-1012",
            "fax_number": "662-328-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMIRE",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-31",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R872661",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "906649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.