Organization Active NPI

M D Whitest Medical Institute Inc

  • Health Service Clinic/Center
  • Cordele, GA
National Provider Identifier
1093172652
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
M D WHITEST MEDICAL INSTITUTE INC
Practice address
401 N 15TH St
Cordele, GA 31015-2932
Phone
(404) 751-7207
NPI assigned
Jan 26, 2016
Last updated
Dec 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Dr. Mathew Wayne Whitest, M D
Title
President
Phone
(404) 751-7207

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

401 N 15TH St
Cordele, GA 31015-2932

Mailing address

401 N 15TH St
Cordele, GA 31015-2932
Phone (404) 751-7207

National Provider Directory

National Provider Directory

Locations

401 N 15th St
Cordele, GA 31015
Phone (404) 751-7207

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1093172652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N 15TH ST",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310152932",
            "telephone_number": "404-751-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N 15TH ST",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310152932",
            "telephone_number": "404-751-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M D WHITEST MEDICAL INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "WHITEST",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-751-7207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordele, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.