Individual provider Active NPI

Whitney Sloan Bancroft Trammell, PA-C

  • Medical Physician Assistant
  • Madison, MS
National Provider Identifier
1992337034
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00480 Issued in MS
Practice address
100 Mannsdale Park Dr Ste 1
Madison, MS 39110-6381
Phone
(601) 910-3004
Fax
(601) 910-3005
NPI assigned
Feb 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA00480 MS Primary

Addresses

Primary practice location

100 Mannsdale Park Dr Ste 1
Madison, MS 39110-6381

Mailing address

815 Highway 80 E
Clinton, MS 39056-5252
Phone (601) 910-3004

Other names 1

  • Whitney Sloan Bancroft Former name

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
I20200330000272 MS Practitioner - Physician Assistant 0244669109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia Dermatology, PLLCGroup PAC ID 0749576031, 11 clinicians

Practice addresses (Care Compare)

815 Hwy 80 E
Clinton, MS 39056-5252
Phone (601) 910-3004

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optical 2000 Past Accepting new patients
Don S Davis MD PA PastSince Feb 9, 2020 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1992337034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 HIGHWAY 80 E",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565252",
            "telephone_number": "601-910-3004",
            "fax_number": "601-910-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MANNSDALE PARK DR STE 1",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106381",
            "telephone_number": "601-910-3004",
            "fax_number": "601-910-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAMMELL",
        "first_name": "WHITNEY",
        "middle_name": "SLOAN BANCROFT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MS",
            "license": "PA00480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "BANCROFT",
            "middle_name": "SLOAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, MS

Sources for this page

Verify at the official NPI Registry.