JODY MARIE WITHERSPOON FNP-C
NPI 1205698008
Nurse Practitioner - Family in Tupelo, MS

Active since January 26, 2024PECOS EnrolledAccepts Medicare Assignment
124 GARDEN LN, TUPELO, MS 38804(662) 687-3306 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jody Marie Witherspoon Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JODY MARIE WITHERSPOON FNP-C (NPI 1205698008) is an individual family provider in Tupelo, Mississippi, licensed in Mississippi (906459) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205698008
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJODY MARIE WITHERSPOONCredential: FNP-C
Location Address124 GARDEN LNTupelo, MS 38804-9221
Mailing Address124 Garden LnTupelo, MS 38804-9221 · (662) 687-3306
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 26, 2024
NPPES CertifiedJanuary 26, 2024
✔ NPI 1205698008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 906459
124 GARDEN LN, Tupelo, MS 38804

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jody Marie Witherspoon Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517304926
PECOS Enrollment IDI20240321000595
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jody Witherspoon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
199 GRANDSTAND PLACE, STE. 101
Tupelo, MS 38804
  • Reassigned Medicare billing, Mississippi enrollment
  • Medicare enrollment name: North Mississippi Medical Center, Inc.
  • 581 clinicians in this Medicare group
Nurse Practitioner
1971 TENNESSEE AVE N
Parsons, TN 38363
  • Reassigned Medicare billing, Mississippi enrollment
  • 26 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jody Witherspoon's NPI number?

The NPI number for Jody Witherspoon is 1205698008. It was assigned to this individual provider in the NPPES registry on January 26, 2024.

Where is Jody Witherspoon located?

Jody Witherspoon practices at 124 Garden Ln, Tupelo, MS 38804. The listed phone number is (662) 687-3306.

What is Jody Witherspoon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jody Witherspoon enrolled in Medicare?

Yes. Jody Witherspoon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jody Witherspoon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jody Witherspoon reassigns Medicare benefits to 2 organizations: North Mississippi Medcial Center, Inc. (Tupelo, MS) and Truhealth, LLC (Parsons, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jody Witherspoon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jody Witherspoon accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Jody Witherspoon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jody Witherspoon was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.