Individual provider Active NPI

Whitney Brooke Mays, NP

  • Family Nurse Practitioner
  • Coeburn, VA
National Provider Identifier
1790946358
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024167903 Issued in VA
Practice address
203 Front St W
Coeburn, VA 24230-3620
Phone
(276) 395-8293
Fax
(276) 395-8297
NPI assigned
Jun 17, 2008
Last updated
Sep 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024167903 VA Primary

Addresses

Primary practice location

203 Front St W
Coeburn, VA 24230-3620

Mailing address

105 W Stone Dr
Suite 6a
Kingsport, TN 37660-3365
Phone (423) 408-7220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20090115000683 VA Practitioner - Nurse Practitioner 1850454950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

515 Front St W
Coeburn, VA 24230-3607
Phone (276) 395-2389

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024167903VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Community Physicians Services LLC CurrentSince Jun 21, 2020 Accepting new patients
Norton Community Physician Services LLC CurrentSince Jun 21, 2020 Accepting new patients
Norton Community Physician Services LLC Current Accepting new patients
Appalachian Healthcare Associates, P.C. PastSince Jan 19, 2009 Accepting new patients
Guedon Medical Clinic Past Accepting new patients

Locations

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

100 15th St NW
#307
Norton, VA 24273
Phone (276) 439-1140

98 15th St NW
Ste 208
Norton, VA 24273
Phone (276) 679-7600

Organizations & group practices 5

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 5

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1790946358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W STONE DR",
            "address_2": "SUITE 6A",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603365",
            "telephone_number": "423-408-7220",
            "fax_number": "423-408-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 FRONT ST W",
            "city": "COEBURN",
            "state": "VA",
            "postal_code": "242303620",
            "telephone_number": "276-395-8293",
            "fax_number": "276-395-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYS",
        "first_name": "WHITNEY",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024167903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeburn, VA

Sources for this page

Verify at the official NPI Registry.