Gregory Whatley, M.D.
Individual provider Active NPI Emergency Medicine Physician · Calais, ME
NPI 1124050141 · NPPES record last updated Jul 16, 2022
Key facts
- NPI
- 1124050141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 25970 (ME)
- Practice address
- 24 Hospital LN
Calais, ME 04619-1329 - Phone
- (207) 454-9213
- Fax
- (074) 549-2402
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Northwestern University Feinberg Medical School, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sandy Creek Emergency Group, PC
Acs Primary Care Physicians - Southeast PC
Practice addresses (Care Compare)
1255 Hwy 54 W
Fayetteville, GA 30214-4526
Phone (770) 719-7000
400 Charter Blvd
Macon, GA 31210-4831
Phone (478) 757-8200
Hospital & facility affiliations
- Piedmont Macon North Hospital
- Piedmont Fayette Hospital
- Tift Regional Medical Center
- Dorminy Medical Center
- Dorminy Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080423000217 | GA | Practitioner - Emergency Medicine | 1759469364 | Reassigns benefits to 7 organizations |
| I20220524002472 | ME | Practitioner - Emergency Medicine |
1759469364 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029556 | GA | MD | Emergency Medicine Physician |
| 25970 | ME | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Georgia Emergency Group, LLC | Emergency Medicine | Current |
Accepting new patients |
| Down East Community Hospital | Current |
Accepting new patients | |
| Down East Community Hospital | Current |
Accepting new patients | |
| Calais Community Hospital | Current |
Accepting new patients | |
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Current |
Accepting new patients |
| Ben Hill Emergency Group LLC | Emergency Medicine | Current |
Accepting new patients |
| Down East Community Hospital | Current | Accepting new patients | |
| Sandy Creek Emergency Group, PC | Emergency Medicine | Current |
Accepting new patients |
| Calais Community Hospital | Current |
Accepting new patients | |
| Coweta Emergency Group LLC | Emergency Medicine | Current |
Accepting new patients |
| Emergency Medicine Services of Maine, LLC | Emergency Medicine | Current |
Accepting new patients |
| Dodge County Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Dodge Emergency Group LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911
200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461
777 Hemlock St
#64
Macon, GA 31201
Phone (478) 633-2097
400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400
24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213
50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304
11 Hospital Dr
Machias, ME 04654
Phone (207) 255-0434
447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981
140 Academy St
Presque Isle, ME 04769
Phone (207) 768-4000
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25970 | ME | Yes |
| Emergency Medicine Physician | 207P00000X | 029556 | GA |
Addresses
Primary practice location
24 Hospital LN
Calais, ME 04619-1329
Mailing address
463 Rivers Rd
Fayetteville, GA 30214-3124
Phone (045) 934-1594
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000342614J | Medicaid | GA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 4045934159 | Direct |
Other providers in Calais, ME
- Bethani Warner
- Washington County Psychotherapy Associates, PA
- Washington Place, LLC
- Darryllynn Weaver
- Sara Capen Wedeman
- Heather White
- Peter Scott Wilkinson
- William R. Gould, D.D.S., L.L.C.
- Tara Williams
- Alaina Willson
All providers in Calais, ME · Emergency Medicine Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.