Active NPI
James H. Whitehurst, M.D.
- Radiation Oncology Physician
- Atlanta, GA
National Provider Identifier
1093878787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 72724
- Practice address
- 1100 W Peachtree St NW Ste 100
Atlanta, GA 30309-3609 - Phone
- (404) 575-2050
- Fax
- (404) 575-2051
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 51100-20 | WI | |
| Radiation Oncology Physician | 2085R0001X | 72724 | GA | Primary |
Addresses
Primary practice location
1100 W Peachtree St NW Ste 100
Atlanta, GA 30309-3609
Mailing address
5428 Fripp LN NW
Acworth, GA 30101-8049
Phone (262) 309-1670
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64797558 | Medicaid | KY | |
| 3051403 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72724 | GA | MD | Radiation Oncology Physician |
| 51100-20 | WI | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volunteer Radiation Oncology Group PC | Radiation Oncology | Past | Accepting new patients |
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.
-
- Radiation Oncology Physician
- Morristown, TN
- NPI 1811914328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1093878787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5428 FRIPP LN NW",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301018049",
"telephone_number": "262-309-1670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W PEACHTREE ST NW STE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303093609",
"telephone_number": "404-575-2050",
"fax_number": "404-575-2051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITEHURST",
"first_name": "JAMES",
"middle_name": "H.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WI",
"license": "51100-20",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "GA",
"license": "72724",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64797558",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3051403",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.