Individual provider Active NPI

Lelan F Whitmire, M.D.

  • Body Imaging Physician
  • Goldsboro, NC
National Provider Identifier
1295797694
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
38713 Issued in NC
Practice address
2700 Medical Office PL
Goldsboro, NC 27534-9460
Phone
(919) 734-1866
Fax
(919) 736-1804
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 38713 NC Primary

Addresses

Primary practice location

2700 Medical Office PL
Goldsboro, NC 27534-9460

Mailing address

PO Box 1757
Goldsboro, NC 27533
Phone (919) 734-1866

Other practice location 1

400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (904) 819-5155

Other identifiers 4

IdentifierTypeStateIssuer
8987336MedicaidNC
02898OtherNCWORK COMP
87336OtherNCNC STATE BCBS
87336OtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101115001370 FL Practitioner - Diagnostic Radiology 3274666847 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Emory University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villages Regional Hospital Physician Services LLCGroup PAC ID 0244688893, 198 clinicians
Radiology Imaging Associates LLCGroup PAC ID 2466342803, 182 clinicians
Inverness Medical Imaging LLCGroup PAC ID 3870590672, 83 clinicians
East Central Florida Outpatient Imaging LLCGroup PAC ID 9830175199, 44 clinicians

Practice addresses (Care Compare)

10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615

110 Health Park Blvd
Saint Augustine, FL 32086-5776
Phone (904) 823-3401

1490 SE Magnolia Ext
Ocala, FL 34471-4443
Phone (352) 732-7400

400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (904) 819-5155

70 Turin Ter
Suite 100
Saint Augustine, FL 32092-0849
Phone (904) 819-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.68 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.28

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Imaging Associates, LLC CurrentSince Sep 1, 2023 Accepting new patients
Ocala Health Imaging Services LLC CurrentSince Sep 13, 2023 Accepting new patients
Inverness Medical Imaging LLC CurrentSince Jul 1, 2023 Accepting new patients
Villages Regional Hospital Physician Services LLC CurrentSince May 1, 2025 Accepting new patients
East Central Florida Outpatient Imaging LLC Body Imaging CurrentSince Sep 1, 2023 Accepting new patients
East Central Florida Outpatient Imaging, LLC Body Imaging Past Accepting new patients

Locations

577 N Williamson Blvd
Daytona Beach, FL 32114

1890 Lpga Blvd
Ste 110
Daytona Beach, FL 32117
Phone 3862747118 ext. 7704

2105 Highway 44 W
Inverness, FL 34453
Phone (352) 419-4818

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

1490 SE Magnolia Ext
Ocala, FL 34471
Phone (352) 512-9703

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

2300 SE 17th St
Ste 800
Ocala, FL 34471
Phone (352) 690-8403

21 Hospital Dr
Ste 130
Palm Coast, FL 32164
Phone (386) 445-4400

3202 N Park Rd
Plant City, FL 33563
Phone (813) 727-1200

1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

190 Southpark Blvd
Ste 101
St Augustine, FL 32086
Phone (904) 827-9191

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lwhitmire455215@direct.unc.nchie.net
  • Direct secure messaging: lwhitmire742022@direct.shands.ufl.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1295797694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1757",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "27533",
            "telephone_number": "919-734-1866",
            "fax_number": "919-736-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 MEDICAL OFFICE PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349460",
            "telephone_number": "919-734-1866",
            "fax_number": "919-736-1804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Health Park Blvd",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320865784",
            "country_code": "US",
            "telephone_number": "904-819-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITMIRE",
        "first_name": "LELAN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NC",
            "license": "38713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8987336",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK COMP",
            "identifier": "02898",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE BCBS",
            "identifier": "87336",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "87336",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.