Active NPI
Xavier Quincey Newsome
- Case Manager/Care Coordinator
- Whitehall, OH
National Provider Identifier
1962295501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 4653 E Main St
Whitehall, OH 43213-3298 - Phone
- (855) 289-1722
- NPI assigned
- May 27, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Case Manager/Care Coordinator | 171M00000X | OH | Primary | |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
4653 E Main St
Whitehall, OH 43213-3298
Mailing address
2501 Maple Grove Rd Unit 1
Chillicothe, OH 45601-9527
Phone (740) 804-2188
Other practice location 1
11 Graham Dr
Athens, OH 45701-1430
Phone (800) 321-8293
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2910854 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1962295501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 MAPLE GROVE RD UNIT 1",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456019527",
"telephone_number": "740-804-2188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4653 E MAIN ST",
"city": "WHITEHALL",
"state": "OH",
"postal_code": "432133298",
"telephone_number": "855-289-1722"
}
],
"practiceLocations": [
{
"address_1": "11 Graham Dr",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "OH",
"postal_code": "457011430",
"country_code": "US",
"telephone_number": "800-321-8293",
"fax_number": "800-321-8293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWSOME",
"first_name": "XAVIER",
"middle_name": "QUINCEY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-27",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2910854",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whitehall, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.