Individual provider Active NPI

Dawn Wilson Whitmire, FNP-C

  • Family Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1154772366
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5008676 Issued in NC
Practice address
104 Pomona Dr
Greensboro, NC 27407-1616
Phone
(336) 268-4100
Fax
(336) 268-3158
NPI assigned
Jun 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5008676 NC Primary

Addresses

Primary practice location

104 Pomona Dr
Greensboro, NC 27407-1616

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 277-4380

Other practice location 1

1122 Randolph St Ste 110
Thomasville, NC 27360-5730
Phone (336) 474-3433

Other practice location 2

1307 W Wendover Ave
Greensboro, NC 27408-8117
Phone (336) 832-3110

Other practice location 3

760 Highland Oaks Dr Ste 200
Winston Salem, NC 27103-7114
Phone (336) 277-4380

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address swhitmire396016@direct.novanthealth.org
Direct Messaging Address dwhitmire19261@direct.conehealth.com Direct
Direct Messaging Address Dawn.Whitmire@eaglep.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161014000133 NC Practitioner - Nurse Practitioner 8527356104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eagle Physicians and Associates PAGroup PAC ID 0244134468, 101 clinicians

Practice addresses (Care Compare)

104 Pomona Dr
Greensboro, NC 27407-1616
Phone (336) 268-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services Inc CurrentSince Sep 16, 2019 Accepting new patients
Eagle Physicians and Associates PA CurrentSince Sep 16, 2024 Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Sep 16, 2019 Accepting new patients
Moses Cone Physician Services, Inc. Current Accepting new patients
Eagle Physicians and Associates PA Family Current Accepting new patients
Eagle Physicians and Associates PA CurrentSince Sep 16, 2024 Accepting new patients

Locations

104 Pomona Dr
Greensboro, NC 27407
Phone (336) 268-4100

1307 W Wendover Ave
Greensboro, NC 27408
Phone (336) 832-3110

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

Interoperability endpoints

  • Direct secure messaging: dwhitmire19261@direct.conehealth.com

Organizations & group practices 6

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": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1154772366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "336-277-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 POMONA DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071616",
            "telephone_number": "336-268-4100",
            "fax_number": "336-268-3158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1122 Randolph St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "NC",
            "postal_code": "273605730",
            "country_code": "US",
            "telephone_number": "336-474-3433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1307 W Wendover Ave",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274088117",
            "country_code": "US",
            "telephone_number": "336-832-3110",
            "fax_number": "336-832-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "760 Highland Oaks Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271037114",
            "country_code": "US",
            "telephone_number": "336-277-4380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITMIRE",
        "first_name": "DAWN",
        "middle_name": "WILSON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swhitmire396016@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1122 Randolph St Ste 110",
            "city": "Thomasville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273605730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwhitmire19261@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1307 W Wendover Ave",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274088117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dawn.Whitmire@eaglep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "104 Pomona Dr",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274071616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.