Stacy Kay Whitehead, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10659 Issued in WI

Practice address

1411 Chattanooga Avenue
Suite 101
Dalton, GA 30720

Phone

(706) 272-0272

Fax

(706) 272-0276

NPI assigned

Sep 25, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, WA, CA, OR4 enrollments

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 4

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Swedish Health ServicesGroup PAC ID 7517870645, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Swedish Medical Center / Cherry Hill Hospital, Seattle, WA, CCN 500025

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

87.45 of 100Reported as group

Quality

69.6

Promoting interoperability

100

Improvement activities

40

Cost

76.59

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

90.11 of 100Reported as group

Quality

86.24

Promoting interoperability

100

Improvement activities

40

Cost

78.35

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.422

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.

• Swedish Health Services

  • Cardiovascular Disease Physician
  • Seattle, WA
  • NPI 1720029028

  WA

  Medicare reassignment Care Compare group
• Bay Area Hospital District

  • General Acute Care Hospital
  • Coos Bay, OR
  • NPI 1225016561

  OR

  Medicare reassignment NPD
• Bradley Polk Walk in Clinic

  • Rural Health Clinic/Center
  • Ocoee, TN
  • NPI 1770929333

  Family, TN

  Medicare reassignment NPD
• Chattanooga Family and Sports Medical Center, PLLC

  • Nutrition Chiropractor
  • Chattanooga, TN
  • NPI 1265687917

  TN

  Medicare reassignment NPD
• Diagnostic Cardiology Group

  • Cardiovascular Disease Physician
  • Chattanooga, TN
  • NPI 1437148152

  TN

  Medicare reassignment NPD
• Regents of the University of California

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1952998973

  CA

  Medicare reassignment NPD
• Bay Area Hospital District

  • Home Health Agency
  • North Bend, OR
  • NPI 1215018197
  NPD
• Gastrointestinal Associates of Cleveland, PC

  • Gastroenterology Physician
  • Cleveland, TN
  • NPI 1316981087
  NPD
• Regents of the University of California

  • Multi-Specialty Clinic/Center
  • Roseville, CA
  • NPI 1144200775
  NPD
• Cardiology Center of Dalton PC

  • Cardiovascular Disease Physician
  • Dalton, GA
  • NPI 1295749125
  NPD (past)
• Aaip LLC

  • Physical Medicine & Rehabilitation Physician
  • Santa Rosa Beach, FL
  • NPI 1902492721
  NPD (past)
• Jeff Hall Inc

  • Nutrition Chiropractor
  • Cleveland, TN
  • NPI 1861430753
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Swedish Health Services

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1356496582

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1275969081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 CHATTANOOGA AVENUE",
            "address_2": "SUITE 101",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "30720",
            "telephone_number": "706-272-0272",
            "fax_number": "706-272-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 CHATTANOOGA AVENUE",
            "address_2": "SUITE 101",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "30720",
            "telephone_number": "706-272-0272",
            "fax_number": "706-272-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "STACY",
        "middle_name": "KAY",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "218472",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN218472",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17937",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "10659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003158725D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Woodward White, RN FNP
• William C White, OD
• White'S Pediatrics
• White'S Pediatrics Urgent Care
• Joanne Marion Whitehead, RN, MSN, FN-P
• Brandie Merrie Whitener, LPN
• Whites Pharmacy of Dalton LLC
• Whitfield County Board of Health
• Whitfield County Public Schools
• Whitfield Medical Professional Association

• All providers in Dalton, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.