Individual provider Active NPI

Whitney A Myers, FNP

  • Family Nurse Practitioner
  • South Boston, VA
National Provider Identifier
1962744508
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024170769 Issued in VA
Practice address
2232 Wilborn Ave
South Boston, VA 24592-1662
Phone
(276) 340-2240
NPI assigned
Mar 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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 0024170769 VA Primary

Addresses

Primary practice location

2232 Wilborn Ave
South Boston, VA 24592-1662

Mailing address

2232 Wilborn Ave
South Boston, VA 24592-1662
Phone (276) 340-2240

Other identifiers 1

IdentifierTypeStateIssuer
0024170769OtherVASTATE LICENSE

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
I20130613000188 VA Practitioner - Nurse Practitioner 6204075716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Gastroenterology Associates PCGroup PAC ID 0840383451, 5 clinicians

Practice addresses (Care Compare)

1129 N Main St
Suite G
South Boston, VA 24592-2547
Phone (434) 572-8196

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.83 of 100Reported as group
Quality
90.46
Promoting interoperability
100
Improvement activities
40
Cost
45.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024170769VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Gastroenterology Endoscopy Center, P.C. CurrentSince Apr 9, 2023 Accepting new patients
Southern Gastroenterology Associates PC CurrentSince Apr 15, 2013 Accepting new patients

Locations

2232 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3539

1129 N Main St
Ste G
South Boston, VA 24592
Phone (434) 572-8196

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19190/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/18834/brand/1/csg/1/fhir/r4
  • Direct secure messaging: whitney.myers.1@18834.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1962744508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921662",
            "telephone_number": "276-340-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921662",
            "telephone_number": "276-340-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "WHITNEY",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0024170769",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, VA

Sources for this page

Verify at the official NPI Registry.