Individual provider Active NPI

Whitney Lauren Fose, MD

  • Pediatrics Physician
  • Woodstock, GA
National Provider Identifier
1194867713
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
92861 Issued in GA
Practice address
1007 Weatherstone Pkwy Ste 210
Woodstock, GA 30188-4497
Phone
(470) 203-0006
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L315854 GA
Pediatrics Physician 208000000X 92861 GA Primary

Addresses

Primary practice location

1007 Weatherstone Pkwy Ste 210
Woodstock, GA 30188-4497

Mailing address

1768 Grand Oaks Dr
Woodstock, GA 30188-4805
Phone (630) 276-9212

Other identifiers 1

IdentifierTypeStateIssuer
036120817MedicaidIL

Other names 1

  • Whitney Lauren McCall Former name

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

LicenseStateTypeSpecialty
L315854GAMDLactation Consultant (Non-RN)
92861GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peach Blossom Pediatrics, LLC Pediatrics CurrentSince Jan 14, 2024 Accepting new patients

Locations

1007 Weatherstone Pkwy
Ste 210
Woodstock, GA 30188
Phone (470) 203-0006

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1194867713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 GRAND OAKS DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884805",
            "telephone_number": "630-276-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 WEATHERSTONE PKWY STE 210",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884497",
            "telephone_number": "470-203-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSE",
        "first_name": "WHITNEY",
        "middle_name": "LAUREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "GA",
            "license": "L315854",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "92861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036120817",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "MCCALL",
            "middle_name": "LAUREN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.