Individual provider Active NPI

Virginia Rawls Whittlesey, L. AC.

  • Acupuncturist
  • Peachtree City, GA
National Provider Identifier
1063925832
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
353 Issued in GA
Practice address
259 Highway 74 N Ste 2
Peachtree City, GA 30269-3562
Phone
(678) 848-3319
NPI assigned
Nov 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 353 GA Primary

Addresses

Primary practice location

259 Highway 74 N Ste 2
Peachtree City, GA 30269-3562

Mailing address

259 Highway 74 N Ste 2
Peachtree City, GA 30269-3562
Phone (678) 848-3319

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
353GAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Energy Wellness, LLC Acupuncturist Current Accepting new patients

Locations

259 Highway 74 N
Ste 2
Peachtree City, GA 30269
Phone (678) 848-3319

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": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1063925832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 HIGHWAY 74 N STE 2",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693562",
            "telephone_number": "678-848-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 HIGHWAY 74 N STE 2",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693562",
            "telephone_number": "678-848-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTLESEY",
        "first_name": "VIRGINIA",
        "middle_name": "RAWLS",
        "credential": "L. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.