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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: October 18, 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
Phone(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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Sara Withrow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Mississippi - University Of Mississippi Medical Center
2.0 mi
End-Stage Renal Disease (ESRD) Treatment
2500 N STATE ST
Jackson, MS 39216
  • Reassigned Medicare billing, Mississippi enrollment
  • 1,932 clinicians in this Medicare group
NPI 1477734689 (866) 842-7574

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 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.

SAVANNA MULLINS NORFLEET LPC
Counselor (Professional)
4400 OLD CANTON RD
JACKSON, MS 39211
Hinds County (601) 984-2080
KAMERON YATES
Counselor
4400 OLD CANTON RD
JACKSON, MS 39211
Hinds County (601) 984-5236
NAKESHIA OWENS
Student in an Organized Health Care Education/Training Program
4400 OLD CANTON RD
JACKSON, MS 39211
Hinds County (601) 984-5236
BETTY JOY GAY BS
Counselor
4400 OLD CANTON RD
JACKSON, MS 39211
Hinds County (601) 984-5236
CHRISTINE GUIDRY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4400 OLD CANTON RD
JACKSON, MS 39211
Hinds County (601) 984-5236
JENNIFER JOHNSON LCSW
Social Worker (Clinical)
4400 OLD CANTON RD
JACKSON, MS 39211
Hinds County (601) 984-4465
THERESA HO
Counselor (Mental Health)
4400 OLD CANTON RD
JACKSON, MS 39211
Hinds County (601) 984-5236

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.

Which organization bills Medicare for Sara Withrow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Withrow reassigns Medicare benefits to State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS). The 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 Sara Withrow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sara Withrow accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Sara Withrow 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 Sara Withrow was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.