SARA WITHROW NP
NPI 1396362083
Nurse Practitioner - Family in Jackson, MS

Active since June 29, 2020PECOS Enrolled
4400 OLD CANTON RD, JACKSON, MS 39211(601) 984-5236 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 22, 2021, Jun 29, 2020 (2 updates tracked since 2020).

About Sara Withrow Np NPPES

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

SARA WITHROW NP (NPI 1396362083) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (903966) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396362083
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSARA WITHROWCredential: NP
Location Address4400 OLD CANTON RDJackson, MS 39211-5982
Mailing Address4400 Old Canton RdJackson, MS 39211-5982 · (601) 984-5236
Sole ProprietorNo
Enumeration DateJune 29, 2020
Last NPPES UpdateJune 22, 20212 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
NPI 1396362083 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 · 903966
4400 OLD CANTON RD, Jackson, MS 39211

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sara Withrow Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39211 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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
4400 OLD CANTON RD
JACKSON, MS 39211
Counselor
4400 OLD CANTON RD
JACKSON, MS 39211
Student in an Organized Health Care Education/Training Program
4400 OLD CANTON RD
JACKSON, MS 39211
Counselor
4400 OLD CANTON RD
JACKSON, MS 39211
Nurse Practitioner (Psychiatric/Mental Health)
4400 OLD CANTON RD
JACKSON, MS 39211
Social Worker (Clinical)
4400 OLD CANTON RD
JACKSON, MS 39211
Counselor (Mental Health)
4400 OLD CANTON RD
JACKSON, MS 39211

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 Sara Withrow's NPI number?

The NPI number for Sara Withrow is 1396362083. It was assigned to this individual provider in the NPPES registry on June 29, 2020.

Where is Sara Withrow located?

Sara Withrow practices at 4400 Old Canton Rd, Jackson, MS 39211. The listed phone number is (601) 984-5236.

What is Sara Withrow's specialty?

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

Is Sara Withrow enrolled in Medicare?

Yes. Sara Withrow is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sara Withrow was last updated on June 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.