IndividualActive
Shane Whiteside
NPI 1174174502 · Peer Specialist · Oxford, MS
Shane Whiteside is a Peer Specialist provider in Oxford, MS (NPI 1174174502).
Provider details
- NPI number
- 1174174502
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
152 Highway 7 S
Oxford, MS 38655-5392
Phone: (662) 234-7521
Fax: (662) 236-3071
Street-level locationGet directions
Mailing address
5280 County Road 220
Water Valley, MS 38965-6221
Registry dates
- Enumerated
- 2019-09-26
- Last updated
- 2019-09-26
Frequently asked questions
- What is Shane Whiteside's NPI number?
- Shane Whiteside's National Provider Identifier (NPI) is 1174174502, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Whiteside's specialty?
- Shane Whiteside is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Shane Whiteside located?
- Shane Whiteside's practice location on file with NPPES is 152 Highway 7 S, Oxford, MS 38655-5392.
- What is Shane Whiteside's phone number?
- The practice phone number listed in the NPPES registry for Shane Whiteside is (662) 234-7521.
- Is Shane Whiteside's NPI active?
- Yes — Shane Whiteside's NPI (1174174502) is active in the NPPES registry as of the last update on 2019-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.