Active NPI
Joy Bernice Whaley, NP
- Women's Health Nurse Practitioner
- Dalton, GA
National Provider Identifier
1023232188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN018253NP
- Practice address
- 808 Professional Blvd
Dalton, GA 30720-2536 - Phone
- (706) 226-2621
- Fax
- (706) 281-2325
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN018253NP | GA | Primary |
Addresses
Primary practice location
808 Professional Blvd
Dalton, GA 30720-2536
Mailing address
388 Beaverdale Rd NE
Dalton, GA 30721-8015
Phone (706) 259-5508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005201654 | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN018253NP | GA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whitfield County Board of Health | Past | Accepting new patients |
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.
-
- Public Health or Welfare Agency
- Dalton, GA
- NPI 1093789075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1023232188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 BEAVERDALE RD NE",
"city": "DALTON",
"state": "GA",
"postal_code": "307218015",
"telephone_number": "706-259-5508",
"fax_number": "706-281-2325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 PROFESSIONAL BLVD",
"city": "DALTON",
"state": "GA",
"postal_code": "307202536",
"telephone_number": "706-226-2621",
"fax_number": "706-281-2325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEY",
"first_name": "JOY",
"middle_name": "BERNICE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "GA",
"license": "RN018253NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005201654",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.