DONNA KAY PITTMAN (FNP-BC,PMHNP-BC) – Family Nurse Practitioner, NPI 1205915428

DONNA KAY PITTMAN (FNP-BC,PMHNP-BC) is a healthcare provider. based in Canton, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC,PMHNP-BC. They hold a License No. 845316 (MS). The NPI Number for DONNA KAY PITTMAN (FNP-BC,PMHNP-BC) is 1205915428

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DONNA KAY PITTMAN (FNP-BC,PMHNP-BC)
NPI
1205915428
Phone
(601) 815-2020
Address
108 BAINBRIDGE XING
Enumeration Date
6 November 2006
Last Update Date
17 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9312531110
Graduation Year
2021 (5 years ago)
PAC ID
3072641430
Group Practice PAC ID
3678832029
Professional Enrollment ID
I20100506000170
Address ID
MS390469041CA1621XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

Provider Addresses for DONNA KAY PITTMAN (FNP-BC,PMHNP-BC)

  • 108 BAINBRIDGE XING

    CANTON, MS 390466013

    Phone: (601) 815-2020

    Fax: (601) 815-2036

    Type: Mailing

  • 2500 N STATE ST

    JACKSON, MS 392164500

    Phone: (601) 815-2020

    Fax: (601) 815-2036

    Type: Location

  • 1701, White Street, McComb, Pike County, Mississippi, 39648, United States

    PO BOX 768

    MCCOMB, MS 39648

    Phone: (601) 249-4218

    Fax: (601) 249-4234

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $679.

Total Amount is formed as General ($679) + Research ($0) + Ownership ($0) = $679.

Last reported payment date: 2024-02-08 • Largest payer in this snapshot: ABBVIE INC. ($124).

Total Amount

$679

General + Research + Ownership

Payments

7

Total payment records

General Amount

$679

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-08

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-05-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100506000170INurse PractitionerMSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 39046)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678832029View full group profile
NameSpecialtyState
Nurse PractitionerMS
Nurse PractitionerAR
Clinical Social WorkerTN
Nurse PractitionerAR
Nurse PractitionerMS
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerNC
-MS
-MS

Reviews

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Frequently asked questions

What is the registry number for DONNA KAY PITTMAN (FNP-BC,PMHNP-BC)?
The registry entry for DONNA KAY PITTMAN (FNP-BC,PMHNP-BC) shows NPI 1205915428.
Does the public listing show DONNA KAY PITTMAN (FNP-BC,PMHNP-BC) as active?
DONNA KAY PITTMAN (FNP-BC,PMHNP-BC)'s NPI record reflects an active status in NPPES.
What type of care does DONNA KAY PITTMAN (FNP-BC,PMHNP-BC) provide?
DONNA KAY PITTMAN (FNP-BC,PMHNP-BC)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DONNA KAY PITTMAN (FNP-BC,PMHNP-BC)?
DONNA KAY PITTMAN (FNP-BC,PMHNP-BC) is associated with Canton, Mississippi in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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