Individual provider Active NPI

Kenneth Whittington

  • Emergency Medicine Physician
  • Hazlehurst, MS
National Provider Identifier
1679514863
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
13223 Issued in MS
Practice address
233 Magnolia St
Hazlehurst, MS 39083-2228
Phone
(800) 291-4020
Fax
(919) 419-7247
NPI assigned
Jun 9, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 13223 MS Primary

Addresses

Primary practice location

233 Magnolia St
Hazlehurst, MS 39083-2228

Mailing address

3211 Shannon Rd
Suite 300
Durham, NC 27707-6322
Phone (800) 291-4020

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050420000290 MS Practitioner - Family PracticePractitioner - Emergency Medicine 7517905656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Copiah County Medical CenterGroup PAC ID 2062583487, 19 clinicians

Practice addresses (Care Compare)

27190 Hwy 28
Hazlehurst, MS 39083-2224
Phone (601) 574-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Copiah County Medical Center CurrentSince May 1, 2022 Accepting new patients
Copiah County Medical Center CurrentSince May 1, 2008 Accepting new patients
Copiah County Medical Center Current Accepting new patients
Copiah County Medical Center CurrentSince May 1, 2022 Accepting new patients

Locations

213 Caldwell Dr
Hazlehurst, MS 39083
Phone (601) 892-2225

233 Magnolia St
Hazlehurst, MS 39083
Phone (601) 894-4541

27190 Highway 28
Hazlehurst, MS 39083
Phone (601) 574-7000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679514863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 SHANNON RD",
            "address_2": "SUITE 300",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076322",
            "telephone_number": "800-291-4020",
            "fax_number": "919-419-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MAGNOLIA ST",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390832228",
            "telephone_number": "800-291-4020",
            "fax_number": "919-419-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTINGTON",
        "first_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "13223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlehurst, MS

Sources for this page

Verify at the official NPI Registry.