Peggy H Whatley, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN010865 Issued in GA

Practice address

3850 Holcomb Bridge Rd
Suite 230
Norcross, GA 30092-5223

Phone

(770) 447-5311

NPI assigned

Jan 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184777161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 ROLLING MIST CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300225784",
            "telephone_number": "770-442-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 HOLCOMB BRIDGE RD",
            "address_2": "SUITE 230",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300925223",
            "telephone_number": "770-447-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHATLEY",
        "first_name": "PEGGY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN010865",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "4328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellness Primary Care, LLC
• Francina Wells, RN
• Rebecca Lynne Wentworth
• Natasha Wesley
• Ernest Boyd Whaley, PH.D.
• Terria Wheeler
• Clinton M White, PA
• Devan White
• Margaret Anne White, MD
• Diana Margaret Whiteman, M.D.

• Dentist in Norcross, GA
• Providers in Norcross, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.