Richard Ralston Whitlock Jr., M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

020623 Issued in GA

Practice address

1348 Walton Way
Suite 5100
Augusta, GA 30901-5104

Phone

(706) 724-8611

Fax

(706) 724-6202

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in GA, SC2 enrollments

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 2

Merit-based Incentive Payment System (MIPS)

Final score

91.62 of 100Reported as apm

Quality

83.25

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• University Cardiology Associates LLC

  dba Cardiovascular Associates of Augusta

  • Cardiovascular Disease Physician
  • Augusta, GA
  • NPI 1699067629

  SC

  Medicare reassignment NPD
• University Cardiology Associates LLC

  dba Augusta Heart Associates

  • Cardiovascular Disease Physician
  • Augusta, GA
  • NPI 1902198369
  Medicare reassignment NPD
• Piedmont Cardiology of Atlanta, LLC

  dba Piedmont Heart Institute

  • Cardiovascular Disease Physician
  • Atlanta, GA
  • NPI 1275729691

  SC

  Medicare reassignment
• University Cardiology Associates LLC

  dba Augusta Cardiology Clinic

  • Cardiovascular Disease Physician
  • Augusta, GA
  • NPI 1316239346
  NPD
• Cardiovascular Associates of Augusta, PA

  • Cardiovascular Disease Physician
  • Augusta, GA
  • NPI 1053344341
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1053335828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 WALTON WAY",
            "address_2": "SUITE 5100",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309015104",
            "telephone_number": "706-724-8611",
            "fax_number": "706-724-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 WALTON WAY",
            "address_2": "SUITE 5100",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309015104",
            "telephone_number": "706-724-8611",
            "fax_number": "706-724-6202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Walnut Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298608629",
            "country_code": "US",
            "telephone_number": "706-724-5611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4350 Towne Centre Dr Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093329",
            "country_code": "US",
            "telephone_number": "706-863-3790",
            "fax_number": "706-863-3794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "RICHARD",
        "middle_name": "RALSTON",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "020623",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "7340",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G20623",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00179077D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1585885-004",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4134155",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "595429",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "897824",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John William Whiteley, MD
• David Lee Whiters II, MASSAGE THERAPIST
• Hoyle Lee Whiteside III, MD
• Cicely R. Whitesides-Watkins, PHARMD
• John Calvin Whitley III, PH.D.
• Melissa Kay Whitlow
• Michael Broughten Whitlow, M.D.
• Paul David Whitten, R.K.T.
• Sharon Denise Whitten, CTRS
• Kathryn E Whittle, OTR

• Cardiovascular Disease Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.