Individual provider Active NPI

Whitney Iman Thomas, FNP-C

  • Family Nurse Practitioner
  • New Bern, NC
National Provider Identifier
1053017442
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5017458 Issued in NC
Practice address
2818 Neuse Blvd
New Bern, NC 28562-2850
Phone
(252) 636-4920
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X GAA-NP003514 GA
Family Nurse Practitioner 363LF0000X 5017458 NC Primary

Addresses

Primary practice location

2818 Neuse Blvd
New Bern, NC 28562-2850

Mailing address

65 Blackwood Rd
Camp Lejeune, NC 28547-1602

Other practice location 1

304 N Westberry St
Sylvester, GA 31791-2125
Phone (229) 463-7071

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250731003723 GA Practitioner - Nurse Practitioner 3476061508 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5017458NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic Georgia LLC CurrentSince Jul 1, 2025 Accepting new patients
Access Medical Clinic Georgia LLC CurrentSince Jul 1, 2025 Accepting new patients
Access Medical Clinic Georgia LLC Current Accepting new patients

Locations

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

500 Stanley St
Perry, GA 31069
Phone (229) 463-7071

304 N Westberry St
Sylvester, GA 31791
Phone (229) 463-7071

Interoperability endpoints

  • Direct secure messaging: whitney.thomas.1@22235.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Medical Clinic Georgia LLC 23 clinicians

Practice addresses (Care Compare)

304 N Westberry St
Sylvester, GA 31791-2125
Phone (229) 463-7071

Hospital & facility affiliations

  • Phoebe Worth Medical Center Hospital, Sylvester, GA, CCN 111328

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1053017442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BLACKWOOD RD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285471602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622850",
            "telephone_number": "252-636-4920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 N Westberry St",
            "address_purpose": "LOCATION",
            "city": "Sylvester",
            "state": "GA",
            "postal_code": "317912125",
            "country_code": "US",
            "telephone_number": "229-463-7071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "WHITNEY",
        "middle_name": "IMAN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP003514",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5017458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.