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Active NPI 1730568692 Individual Practitioner Male Practitioner

Amanda Mckenzie Cesare , CPNP, PC, PMHS

Nurse Practitioner • Sumrall, MS

Professional Overview & Biography Verified Profile Summary

Amanda Cesare, CPNP, PC, PMHS is a registered healthcare professional specializing in Nurse Practitioner in Sumrall, MS. Practice services are available at 4881 HIGHWAY 589 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4881 Highway 589

Sumrall, MS 394824453

Telephone 6013369099
Fax 6015506184
Associated Practice Facility / Clinic
🏢 Kids Bright Clinic Llc Facility NPI 1780341396

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Sumrall, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.5 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Sumrall, MS (1098 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-28
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MS R879886

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
03574867 (MS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Megan Lee

Speech-Language Pathologist

NPI 1295960359
Leslie Rollins , FNP

Nurse Practitioner - Family

NPI 1417466079

Family Nurse Practitioner

Catherine Brock , MSN, CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1801654520

Master of Science in Nursing, CPNPPC

Sarah Lowery , SLP

Speech-Language Pathologist

NPI 1902795206

Speech-Language Pathologist

Rikki Broom , PNP

Nurse Practitioner

NPI 1942089917

Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

21 Historical Events
📍
Updated Practice Location April 28, 2025

Registered at 4881 HIGHWAY 589, SUMRALL, MS 394824453 (Tel: 6013369099)

👤
Provider Name / Credentials Updated April 28, 2025

Recorded as AMANDA CESARE, CPNP, PC, PMHS

📍
Updated Practice Location October 13, 2023

Registered at 4881 HIGHWAY 589, SUMRALL, MS 39482 (Tel: 6013369099)

📍
Updated Business Mailing Address October 13, 2023

Registered at PO BOX 566, SUMRALL, MS 394820566 (Tel: 6014676513)

📍
Updated Practice Location March 02, 2022

Registered at 7116 U S HIGHWAY 98, HATTIESBURG, MS 394028451 (Tel: 6013369099)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2022

Nurse Practitioner (License #R879886 in MS)

📍
Updated Practice Location January 03, 2022

Registered at 4601 HIGHWAY 589, SUMRALL, MS 394823977 (Tel: 6014676513)

📍
Updated Business Mailing Address January 03, 2022

Registered at 4601 HIGHWAY 589, SUMRALL, MS 394823977 (Tel: 6014676513)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2022

Nurse Practitioner (License #879886 in MS)

👤
Provider Name / Credentials Updated June 18, 2020

Recorded as AMANDA WHIDDON, CPNP-PC

NPI Profile Active February 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 28, 2017

Registered at 4210 LINCOLN RD, HATTIESBURG, MS 39402 (Tel: 6012613500)

📍
Updated Business Mailing Address February 28, 2017

Registered at 415 S 28TH AVE, HATTIESBURG, MS 394017246 (Tel: 6012613500)

👤
Provider Name / Credentials Updated February 28, 2017

Recorded as AMANDA WHIDDON, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2017

Nurse Practitioner (License #R879886 in MS)

NPI Profile Active August 23, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2016

Registered at 4210 LINCOLN RD, HATTIESBURG, MS 39402 (Tel: 6012613500)

📍
Updated Business Mailing Address August 23, 2016

Registered at 415 S 28TH AVE, HATTIESBURG, MS 394017246 (Tel: 6012613500)

👤
Provider Name / Credentials Updated August 23, 2016

Recorded as AMANDA WHIDDON, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2016

Nurse Practitioner (License #R879886 in MS)

🟢
Initial NPI Registration & Enumeration May 26, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1730568692
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2015
Last Update: April 28, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 566

Sumrall, MS 394820566

Phone: 6014676513

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.