SHELBY JOHNSON WHITEHEAD APRN
NPI 1487511697
Nurse Practitioner - Family in Bonifay, FL
About Shelby Johnson Whitehead Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELBY JOHNSON WHITEHEAD APRN (NPI 1487511697) is an individual family provider in Bonifay, Florida, licensed in Florida (APRN11044769) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS, is affiliated with Doctors Memorial Hospital, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shelby Johnson Whitehead Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shelby Whitehead reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bonifay, FL 32425
- Reassigned Medicare billing, Florida enrollment
- 6 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Doctors Memorial Hospital
Critical Access Hospitals · Bonifay, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shelby Whitehead's NPI number?
The NPI number for Shelby Whitehead is 1487511697. It was assigned to this individual provider in the NPPES registry on January 8, 2026.
Where is Shelby Whitehead located?
Shelby Whitehead practices at 3120 Southride Ln, Bonifay, FL 32425. The listed phone number is (850) 547-4440.
What is Shelby Whitehead's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shelby Whitehead enrolled in Medicare?
Yes. Shelby Whitehead is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shelby Whitehead's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Whitehead reassigns Medicare benefits to Hawkins Family Medicine LLC (Bonifay, FL). 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 Shelby Whitehead's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Shelby Whitehead affiliated with any hospitals?
According to CMS data, Shelby Whitehead is affiliated with Doctors Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Shelby Whitehead was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Shelby Johnson Whitehead, APRN · NPI 1487511697
Family physician in Bonifay, Florida. Individual provider, active in the CMS NPPES registry since January 8, 2026.
## Identity
- **NPI:** 1487511697 (Entity type: Individual)
- **Enumerated:** January 8, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN11044769 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 3120 SOUTHRIDE LN, Bonifay, FL 32425-3325
- **Phone:** (850) 547-4440 · **Fax:** (850) 547-4441
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hawkins Family Medicine LLC (NPI 1952680464, Bonifay, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1487511697) · Data from the CMS NPPES public registry.