NPIMap

Individual provider Active NPI

David H Whiteside, FNP

  • Nurse Practitioner
  • Spartanburg, SC
National Provider Identifier
1003205626
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
19241 Issued in SC
Practice address
1330 Boiling Springs Rd
Suite 2500
Spartanburg, SC 29303-4201
Phone
(864) 585-5433
Fax
(864) 591-4053
NPI assigned
Jan 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 19241 SC Primary

Addresses

Primary practice location

1330 Boiling Springs Rd
Suite 2500
Spartanburg, SC 29303-4201

Mailing address

PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304

Other identifiers 4

IdentifierTypeStateIssuer
SC56206067OtherSCMEDICARE PIN
19241OtherSCSC LICENSE
SC56206121OtherSCMEDICARE PIN
SC5620J577OtherSCMEDICARE PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dwhiteside71208@direct-srhs.et0939.epichosted.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150608003072 SC Practitioner - Nurse Practitioner 6901127513 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spartanburg Medical Center 1,060 clinicians

Practice addresses (Care Compare)

1200 E Main St
Suite 12
Spartanburg, SC 29307-1738
Phone (864) 560-9260

1330 Boiling Springs Rd
Suite 2500
Spartanburg, SC 29303-4214
Phone (864) 585-5433

Hospital & facility affiliations

  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007
  • Union Medical Center Hospital, Union, SC, CCN 420108

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
19241SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Medical Center CurrentSince Oct 1, 2019 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Cherokee Medical Center CurrentSince Oct 1, 2019 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center CurrentSince Jun 1, 2016 Accepting new patients
Spartanburg Medical Center CurrentSince Sep 1, 2018 Accepting new patients
Cherokee Medical Center Current Accepting new patients
Spartanburg Medical Center CurrentSince Jun 1, 2016 Accepting new patients
Spartanburg Medical Center Past Accepting new patients

Locations

1341 N Limestone St
Gaffney, SC 29340
Phone (864) 489-3300

840 W Floyd Baker Blvd
Gaffney, SC 29341
Phone (864) 489-3300

3611 Pelham Rd
Greenville, SC 29615
Phone (864) 530-3500

151 Peachwood Centre Dr
Spartanburg, SC 29301
Phone (864) 560-9627

1200 E Main St
Ste 12
Spartanburg, SC 29307
Phone (864) 560-9260

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

1330 Boiling Springs Rd
Ste 2500
Spartanburg, SC 29303
Phone (864) 585-5433

2995 Reidville Rd
Ste 100
Spartanburg, SC 29301
Phone (864) 587-3000

2660 Reidville Rd
Unit 1
Spartanburg, SC 29301
Phone (864) 560-9696

511 Cross Anchor Rd
Woodruff, SC 29388
Phone (864) 278-6031

Organizations & group practices 24

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 24

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1003205626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BOILING SPRINGS RD",
            "address_2": "SUITE 2500",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034201",
            "telephone_number": "864-585-5433",
            "fax_number": "864-591-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESIDE",
        "first_name": "DAVID",
        "middle_name": "H",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-20",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "19241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SC56206067",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LICENSE",
            "identifier": "19241",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SC56206121",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SC5620J577",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwhiteside71208@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dwhiteside71208@direct-srhs.et0939.epichosted.com",
            "address_1": "1330 Boiling Springs Rd",
            "address_2": "Suite 2500",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293034201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.