Susan J Whitehurst, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

7529 Issued in TN

Practice address

130 Thornoak Dr
Martin, TN 38237-1415

Phone

(731) 587-6743

Fax

(731) 587-6743

NPI assigned

Aug 29, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Janice Susan Johnson-Whitehurst Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1053304782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 THORNOAK DR",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382371415",
            "telephone_number": "731-225-4017",
            "fax_number": "731-227-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 THORNOAK DR",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382371415",
            "telephone_number": "731-587-6743",
            "fax_number": "731-587-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHURST",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "7529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "JOHNSON-WHITEHURST",
            "middle_name": "SUSAN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Weakley County Family Medicine, Inc.
• West Tennessee Rehabilitation Hospital, LLC (West TN Health Rehab Hosp Cane Creek, a partner with Encompass Health)
• West TN Medical Consultants, PLLC
• Janie West, DPT
• Western Grand Emergency Physicians, LLC
• Janet Mary Wilbert, ATC/L
• Martha Williams, DPH
• Dashawn Howell Wilson, PHARM D
• Susan Lynn Winston, LPN
• Isaac Arron Workman, DMD

• Specialist in Martin, TN
• Providers in Martin, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.