NPIMap

Individual provider Active NPI

Thomas Whitesell

  • Internal Medicine Physician
  • Saint Marys, GA
National Provider Identifier
1245231984
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
052854 Issued in GA
Practice address
2060 Dan Proctor Dr.
Suite 2100
St Marys, GA 31558
Phone
(912) 882-6767
Fax
(912) 882-6411
NPI assigned
Aug 3, 2005
Last updated
Dec 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 052854 GA Primary

Addresses

Primary practice location

2060 Dan Proctor Dr.
Suite 2100
St Marys, GA 31558

Mailing address

2060 Dan Proctor Dr.
Suite 2100
St Marys, GA 31558
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
I20051214000099 GA Practitioner - Internal Medicine 4981625217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Mercer University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Practice addresses (Care Compare)

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
052854GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooperative Healthcare Services Inc Internal Medicine CurrentSince Mar 1, 2007 Accepting new patients
Southeastern Surgical Associates Past Accepting new patients
Southeast Georgia Health System, Inc. Past Accepting new patients
Del Medical Associates Inc Past Accepting new patients

Locations

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

805 Dilworth St
Saint Marys, GA 31558
Phone (912) 882-4227

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

308 Bedell Ave
Woodbine, GA 31569
Phone (912) 576-5506

Interoperability endpoints

  • Direct secure messaging: twhites@secure.sghsmessaging.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/6996dfed-5d48-4d59-8b7b-8bd86c9887c0/

Organizations & group practices 4

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 6

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": "1767139200000",
    "number": "1245231984",
    "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": "ST MARYS",
            "state": "GA",
            "postal_code": "31558",
            "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": "ST MARYS",
            "state": "GA",
            "postal_code": "31558",
            "telephone_number": "912-882-6767",
            "fax_number": "912-882-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESELL",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "052854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

Verify at the official NPI Registry.