Mark A. Whitehead, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1531 Issued in TN

Practice address

326 N Locust Ave
Lawrenceburg, TN 38464-3516

Phone

(931) 762-9797

Fax

(931) 762-9798

NPI assigned

Sep 25, 2007

Last updated

Aug 20, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

One Stop Medical LLCGroup PAC ID 1850439332, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• One Stop Medical, LLC

  • Rural Health Clinic/Center
  • Lawrenceburg, TN
  • NPI 1053548487
  Medicare reassignment Care Compare group
• Tennessee CVS Pharmacy, L.L.C.

  dba CVS Pharmacy #17899

  • Pharmacy
  • Sevierville, TN
  • NPI 1891524815
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1235326059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 N LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643516",
            "telephone_number": "931-762-9797",
            "fax_number": "931-762-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643516",
            "telephone_number": "931-762-9797",
            "fax_number": "931-762-9798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Joe Ave",
            "address_purpose": "LOCATION",
            "city": "Hohenwald",
            "state": "TN",
            "postal_code": "384622002",
            "country_code": "US",
            "telephone_number": "931-796-9797",
            "fax_number": "931-295-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "912 W College St",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "TN",
            "postal_code": "384783630",
            "country_code": "US",
            "telephone_number": "931-424-9797",
            "fax_number": "931-424-9788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "MARK",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1501347",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Watson
• Amanda Danyelle Webb, PMHNP
• Wel-Med
• Cikiya D White
• Donna White, APN
• Sarah Whitmore, CNM
• Samantha A Whitwell, FNP-BC
• Kenneth Lamar Will, CRNA
• Crystal Williams, APN
• Clayton D Wilson, M.D.

• Physician Assistant in Lawrenceburg, TN
• Providers in Lawrenceburg, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.