Active NPI
Melanie Whitman, DO
- Pediatrics Physician
- Georgetown, SC
National Provider Identifier
1033199245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 938
- Practice address
- 57 Jessamine Ave
Georgetown, SC 29440 - Phone
- (843) 546-8686
- Fax
- (843) 546-1353
- NPI assigned
- Jan 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 938 | SC | Primary |
| Pediatrics Physician | 208000000X | DO938 | SC |
Addresses
Primary practice location
57 Jessamine Ave
Georgetown, SC 29440
Mailing address
PO Box 618
Georgetown, SC 29442
Phone (843) 546-8686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009387 | Medicaid | SC |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO938 | SC | MD | Pediatrics Physician |
| 938 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Strand Pediatrics & Adolescent Medicine, P.a. | Current | Accepting new patients | |
| Georgetown Pediatric Center | Past | Accepting new patients | |
| Riverbend Medical Group, Inc | Past | Accepting new patients | |
| Georgetown Pediatric Center, PC | Pediatrics | Past | Accepting new patients |
Locations
4326 Baldwin Ave
Little River, SC 29566
8120 Rourk St
Myrtle Beach, SC 29572
Phone (843) 449-1438
5015 Carolina Forest Blvd
Myrtle Beach, SC 29579
Phone (843) 945-1740
1120 Glenns Bay Rd
Ste 120
Surfside Beach, SC 29575
Interoperability endpoints
- melaniewhitman@gspsc.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Pediatric Adolescent Medicine Physician
- Myrtle Beach, SC
- NPI 1588614192
-
- Rural Health Clinic/Center
- Georgetown, SC
- NPI 1013334200
-
- Pediatrics Physician
- Georgetown, SC
- NPI 1760682637
-
- Durable Medical Equipment & Medical Supplies
- Springfield, MA
- NPI 1639280779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1033199245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 618",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "29442",
"telephone_number": "843-546-8686",
"fax_number": "843-546-1353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 JESSAMINE AVE",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "29440",
"telephone_number": "843-546-8686",
"fax_number": "843-546-1353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITMAN",
"first_name": "MELANIE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "938",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "DO938",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009387",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.