Amanda McKenzie Cesare, CPNP, PC, PMHS

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R879886 Issued in MS

Practice address

4881 Highway 589
Sumrall, MS 39482-4453

Phone

(601) 336-9099

Fax

(601) 550-6184

NPI assigned

May 26, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amanda Cesare Whiddon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

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.

• Kids Bright Clinic LLC

  • Nurse Practitioner
  • Sumrall, MS
  • NPI 1780341396
  NPD

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1730568692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566",
            "city": "SUMRALL",
            "state": "MS",
            "postal_code": "394820566",
            "telephone_number": "601-467-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 HIGHWAY 589",
            "city": "SUMRALL",
            "state": "MS",
            "postal_code": "394824453",
            "telephone_number": "601-336-9099",
            "fax_number": "601-550-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESARE",
        "first_name": "AMANDA",
        "middle_name": "MCKENZIE",
        "credential": "CPNP, PC, PMHS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R879886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03574867",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WHIDDON",
            "middle_name": "CESARE",
            "credential": "CPNP, PC, PMHS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Aimmee Rochelle Chestang, NP
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• Brandon L Coleman, D. O.
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• Covington County Hospital (Covington Health Sumrall)

• Nurse Practitioner in Sumrall, MS
• Providers in Sumrall, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.