NPIMap

Individual provider Active NPI

Janise Hartzog Whitesell, M.D.

  • Family Medicine Physician
  • Saint Marys, GA
National Provider Identifier
1154322899
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
047867 Issued in GA
Practice address
2060 Dan Proctor Dr
Suite 2100
Saint Marys, GA 31558-3894
Phone
(912) 882-6767
Fax
(912) 882-6411
NPI assigned
Aug 3, 2005
Last updated
Aug 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 047867 GA Primary

Addresses

Primary practice location

2060 Dan Proctor Dr
Suite 2100
Saint Marys, GA 31558-3894

Mailing address

2060 Dan Proctor Dr
Suite 2100
Saint Marys, GA 31558-3894
Phone (912) 882-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080723000815 GA Practitioner - Family Practice 2668545609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mercer University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Effingham Rehab Services, LLCGroup PAC ID 5597752063, shared by 3 NPIs, 143 clinicians
Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Practice addresses (Care Compare)

1390 Boone Ave Ext
Suite A23
Kingsland, GA 31548-6515
Phone (419) 221-3717

2060 Dan Proctor Dr
Saint Marys, GA 31558-3895

2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone (912) 466-4079

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.36 of 100Reported as group
Quality
46.72
Promoting interoperability
99
Improvement activities
40
Cost
75.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
047867GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooperative Healthcare Services Inc Family Medicine CurrentSince Oct 1, 2007 Accepting new patients
Southeastern Surgical Associates Past Accepting new patients
Del Medical Associates Inc Past Accepting new patients

Locations

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

2060 Dan Proctor Dr
Ste 2100
Saint Marys, GA 31558
Phone (912) 882-6767

Interoperability endpoints

  • Direct secure messaging: jwhites@secure.sghsmessaging.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1154322899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 DAN PROCTOR DR",
            "address_2": "SUITE 2100",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583894",
            "telephone_number": "912-882-6767",
            "fax_number": "912-882-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 DAN PROCTOR DR",
            "address_2": "SUITE 2100",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583894",
            "telephone_number": "912-882-6767",
            "fax_number": "912-882-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESELL",
        "first_name": "JANISE",
        "middle_name": "HARTZOG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "047867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

Verify at the official NPI Registry.