Individual provider Active NPI

Myra Lindsey White, MS, CCC-SLP

  • Speech-Language Pathologist
  • Madison, MS
National Provider Identifier
1881289882
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S-4197 Issued in MS
Practice address
119 Colony Crossing Way Ste 820
Madison, MS 39110-6330
Phone
(769) 289-2890
Fax
(769) 289-2891
NPI assigned
Mar 2, 2021
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S-4197 MS Primary

Addresses

Primary practice location

119 Colony Crossing Way Ste 820
Madison, MS 39110-6330

Mailing address

119 Colony Crossing Way Ste 820
Madison, MS 39110-6330
Phone (769) 289-2890

Other practice location 1

119 Colony Crossing Way Ste 820
Madison, MS 39110-6330
Phone (769) 289-2890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250326002327 MS Practitioner - Qualified Speech Language Pathologist 6103349592 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
S-4197MSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Therapy LLC Speech-Language Pathologist CurrentSince May 18, 2026 Accepting new patients
Healing Hands Rehabilitation Services, LLC CurrentSince Mar 7, 2021 Accepting new patients
Healing Hands Rehabilitation Services, LLC CurrentSince Nov 24, 2024 Accepting new patients
Performance Therapy LLC CurrentSince Jan 23, 2025 Accepting new patients

Locations

105 Lexington Dr
Ste H
Gluckstadt, MS 39110
Phone (601) 910-7300

119 Colony Crossing Way
Ste 820
Madison, MS 39110
Phone (769) 289-2890

1058 Holland Ave
Philadelphia, MS 39350
Phone (601) 650-0002

921 W Beacon St
Philadelphia, MS 39350
Phone (601) 650-0002

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.

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1881289882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 COLONY CROSSING WAY STE 820",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106330",
            "telephone_number": "769-289-2890",
            "fax_number": "769-289-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 COLONY CROSSING WAY STE 820",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106330",
            "telephone_number": "769-289-2890",
            "fax_number": "769-289-2891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Colony Crossing Way Ste 820",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391106330",
            "country_code": "US",
            "telephone_number": "769-289-2890",
            "fax_number": "769-289-2891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MYRA",
        "middle_name": "LINDSEY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S-4197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.