Vernon Charlton Whitley, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

18498 Issued in SC

Practice address

10706 Marlboro Ave
Barnwell, SC 29812-6376

Phone

(803) 259-7337

Fax

(803) 259-9505

NPI assigned

Oct 24, 2006

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 3

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Low Country Health Care System, Inc

  • Federally Qualified Health Center (FQHC)
  • Farifax, SC
  • NPI 1053475566
  Medicare reassignment NPD
• Low Country Health Care System, Inc

  • Federally Qualified Health Center (FQHC)
  • Bamberg, SC
  • NPI 1306378310
  Medicare reassignment NPD
• Low Country Health Care System, Inc

  • Federally Qualified Health Center (FQHC)
  • Barnwell, SC
  • NPI 1578659942
  Medicare reassignment NPD
• Low Country Health Care System, Inc

  • Federally Qualified Health Center (FQHC)
  • Barnwell, SC
  • NPI 1780112912
  Medicare reassignment NPD
• Low Country Health Care System, Inc

  • Federally Qualified Health Center (FQHC)
  • Bamberg, SC
  • NPI 1821518556
  Medicare reassignment NPD
• Low Country Health Care System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Blackville, SC
  • NPI 1235225608
  Medicare reassignment NPD
• Low Country Health Care System, Inc

  • Federally Qualified Health Center (FQHC)
  • Barnwell, SC
  • NPI 1962442244

  Pediatrics

  NPD
• Low Country Health Care System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Aiken, SC
  • NPI 1194288571
  NPD
• Marcus Daly Memorial Hospital Corporation

  • Nephrology Physician
  • Hamilton, MT
  • NPI 1235997958
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1295818987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 WREN ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121529",
            "telephone_number": "803-259-5762",
            "fax_number": "803-259-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10706 MARLBORO AVE",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298126376",
            "telephone_number": "803-259-7337",
            "fax_number": "803-259-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "VERNON",
        "middle_name": "CHARLTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "18498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184981",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "SCC997",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "18498",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• United Rehab Inc.
• Wal-Mart Stores East LP
• Michelle Burch Walker, RN
• Brittany Marie Waller, PHARMD
• Haley Nicole Waters, MS
• Stacy Lynn Whitworth, FNP-BC
• Amy Williams, MCD CCC SLP
• Nashira Williams
• Sharon G. Wise, APRN-BC
• Craig Sewell Wix, D.M.D.

• Pediatrics Physician in Barnwell, SC
• Providers in Barnwell, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.