Lauren S Nagashima-Whalen, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

060776 Issued in GA

Practice address

728 Cobb St
Athens, GA 30606-2942

Phone

(706) 548-3109

Fax

(706) 543-4439

NPI assigned

Apr 8, 2006

Last updated

Dec 2, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dr. Lauren S Whalen Other name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Patrick D Retterbush MD LLC

  • Dermatology Physician
  • Athens, GA
  • NPI 1700357019
  Medicare reassignment
• Wesley S Wilborn MD PC

  dba Metro Atlanta Dermatology Group

  • Dermatology Physician
  • Atlanta, GA
  • NPI 1750554978
  NPD (past)

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1033172382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 COBB ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062942",
            "telephone_number": "706-548-3109",
            "fax_number": "706-543-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 COBB ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062942",
            "telephone_number": "706-548-3109",
            "fax_number": "706-543-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGASHIMA-WHALEN",
        "first_name": "LAUREN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "060776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1437298957",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "513522",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "457017490A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "WHALEN",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katherine A Myers, AUD
• Robin Lucille Huff Myers, FNP
• Amanda Myles
• Ashley Myles
• Adam Nadelson, M.D.
• Brent Lindsey Nail, D.M.D.
• Mary Lynn Talton Nail, SLP/CCC
• Emily Diane Nalewaik
• Raissa Nana Sede Mbakop, MD
• Bannur Ramanna Nandeesh

• Dermatology Physician in Athens, GA
• Providers in Athens, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.