Individual provider Active NPI

Carter Marie Whatley, PA-C

  • Medical Physician Assistant
  • Marietta, GA
National Provider Identifier
1033476791
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
6420 Issued in GA
Practice address
699 Church St NE Ste 340
Marietta, GA 30060-1131
Phone
(678) 355-1620
NPI assigned
Apr 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 6420 GA Primary

Addresses

Primary practice location

699 Church St NE Ste 340
Marietta, GA 30060-1131

Mailing address

527 Peachtree Hills Cir NE
Atlanta, GA 30305-4242
Phone (423) 360-2872

Other practice location 1

290 Country Club Dr
Suite 200
Stockbridge, GA 30281-9069
Phone (770) 228-5407

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cwhatley64600@directwellstar.org

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6420GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McIntosh Trail Family Practice CurrentSince May 1, 2012 Accepting new patients

Locations

747 S Hill St
Griffin, GA 30224
Phone (770) 228-5407

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1033476791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 PEACHTREE HILLS CIR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303054242",
            "telephone_number": "423-360-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 CHURCH ST NE STE 340",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601131",
            "telephone_number": "678-355-1620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 Country Club Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302819069",
            "country_code": "US",
            "telephone_number": "770-228-5407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHATLEY",
        "first_name": "CARTER",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "6420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwhatley64600@directwellstar.org",
            "affiliation": "N",
            "address_1": "699 Church St NE Ste 340",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300601131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.