Active NPI
William Craig Whitley, M.D.
- Internal Medicine Physician
- Decatur, AL
National Provider Identifier
1326130477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 00012638
- Practice address
- 1215 7TH St SE Ste 240
Decatur, AL 35601-3397 - Phone
- (256) 355-5315
- Fax
- (256) 355-5346
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 00012638 | AL | Primary |
Addresses
Primary practice location
1215 7TH St SE Ste 240
Decatur, AL 35601-3397
Mailing address
1215 7TH St SE Ste 240
Decatur, AL 35601-3397
Phone (256) 355-5315
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4044829 | Other | AL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00012638 | AL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326130477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 7TH ST SE STE 240",
"city": "DECATUR",
"state": "AL",
"postal_code": "356013397",
"telephone_number": "256-355-5315",
"fax_number": "256-355-5346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 7TH ST SE STE 240",
"city": "DECATUR",
"state": "AL",
"postal_code": "356013397",
"telephone_number": "256-355-5315",
"fax_number": "256-355-5346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITLEY",
"first_name": "WILLIAM",
"middle_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "00012638",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4044829",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.