KENYOTTER WHIPPLE
NPI 1356755128
Nurse Practitioner - Psychiatric/Mental Health in Macon, GA

Active since June 19, 2014PECOS Enrolled
1400 GRAY HWY APT 808, MACON, GA 31211(478) 258-8585 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 25, 2020, Mar 6, 2020 (2 updates tracked since 2020).

About Kenyotter Whipple NPPES

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

KENYOTTER WHIPPLE (NPI 1356755128) is an individual psychiatric/mental health provider in Macon, Georgia, licensed in Georgia (RN246767) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356755128
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKENYOTTER WHIPPLE
Location Address1400 GRAY HWY APT 808Macon, GA 31211-1931
Mailing AddressPo Box 27901Macon, GA 31221-7901 · (478) 259-6319
Sole ProprietorNo
Enumeration DateJune 19, 2014
Last NPPES UpdateJune 25, 20202 updates tracked since enumeration
NPPES CertifiedJune 25, 2020
✔ NPI 1356755128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN246767
1400 GRAY HWY APT 808, Macon, GA 31211

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenyotter Whipple is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

Medicare enrollment records show Kenyotter Whipple reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
175 EMERY HWY
Macon, GA 31217
  • Reassigned Medicare billing, Georgia enrollment
  • 13 clinicians in this Medicare group
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 592 clinicians in this Medicare group
Psychiatric Hospital
1000 EAGLES LANDING PKWY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 30 clinicians in this Medicare group
Psychiatry
2180 SATELLITE BLVD STE 400
Duluth, GA 30097
  • Reassigned Medicare billing, Georgia enrollment
  • 17 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 31211 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 Kenyotter Whipple's NPI number?

The NPI number for Kenyotter Whipple is 1356755128. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Where is Kenyotter Whipple located?

Kenyotter Whipple practices at 1400 Gray Hwy Apt 808, Macon, GA 31211. The listed phone number is (478) 258-8585.

What is Kenyotter Whipple's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kenyotter Whipple enrolled in Medicare?

Yes. Kenyotter Whipple is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kenyotter Whipple's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenyotter Whipple reassigns Medicare benefits to 4 organizations: River Edge Behavioral Health Center (Macon, GA), Personal Recovery Network LLC (Stockbridge, GA), Uhs Of Anchor L.P. (Stockbridge, GA) and Inner Community Health (Duluth, GA). 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 Kenyotter Whipple's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenyotter Whipple accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kenyotter Whipple 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 Kenyotter Whipple was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.