Individual provider Active NPI

Santanna Nesbitt

  • Family Medicine Physician
  • Pontotoc, MS
National Provider Identifier
1801612494
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
907019 Issued in MS
Practice address
109 Highway 15 S
Pontotoc, MS 38863-2628
Phone
(662) 509-9934
NPI assigned
Nov 27, 2024
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 907019 MS Primary

Addresses

Primary practice location

109 Highway 15 S
Pontotoc, MS 38863-2628

Mailing address

109 Highway 15 S
Pontotoc, MS 38863-2628
Phone (662) 509-9934

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
I20250728000737 MS Practitioner - Nurse Practitioner 7315454105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lindsay Clinic PAGroup PAC ID 7810082013, 3 clinicians

Practice addresses (Care Compare)

109 Hwy 15 S
Pontotoc, MS 38863-2628
Phone (662) 509-9934

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
907019MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsay Clinic PA CurrentSince Jun 1, 2025 Accepting new patients
Alliance Rehabilitation, Inc PastSince Dec 1, 2024 Accepting new patients

Locations

109 Highway 15 S
Pontotoc, MS 38863
Phone (662) 308-5236

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1801612494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 HIGHWAY 15 S",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388632628",
            "telephone_number": "662-509-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 HIGHWAY 15 S",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388632628",
            "telephone_number": "662-509-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESBITT",
        "first_name": "SANTANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "907019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontotoc, MS

Sources for this page

Verify at the official NPI Registry.