Individual provider Active NPI

Gina Marie Whritenour, DNP, FNP-C, MSN, RN

  • Family Nurse Practitioner
  • Lumberton, NC
National Provider Identifier
1003528993
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5017351 Issued in NC
Practice address
4850 Fayetteville Rd Ste G
Lumberton, NC 28358-2374
Phone
(910) 407-8545
NPI assigned
Dec 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5017351 NC Primary

Addresses

Primary practice location

4850 Fayetteville Rd Ste G
Lumberton, NC 28358-2374

Mailing address

4850 Fayetteville Rd Ste G
Lumberton, NC 28358-2374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230523000390 NC Practitioner - Nurse Practitioner 0547626202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4850 Fayetteville Rd
Suite G
Lumberton, NC 28358-2374
Phone (910) 316-1468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
5017351NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Healthcare PLLC Family CurrentSince Feb 8, 2023 Accepting new patients

Locations

4850 Fayetteville Rd
Ste G
Lumberton, NC 28358
Phone (910) 316-1468

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1003528993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 FAYETTEVILLE RD STE G",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 FAYETTEVILLE RD STE G",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582374",
            "telephone_number": "910-407-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHRITENOUR",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP-C, MSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5017351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.