Kelly Whitehurst, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01051111A Issued in IN

Practice address

1401 Professional Blvd Ste 200
Evansville, IN 47714-8011

Phone

(812) 469-3703

NPI assigned

Jan 19, 2007

Last updated

Feb 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kelly Perkins Former name

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Family Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Chiropractic PLLCGroup PAC ID 4486958543, 4 clinicians

Core Health ManagementGroup PAC ID 1254842859, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Core Chiropractic PLLC

  • Chiropractor
  • Evansville, IN
  • NPI 1043677586
  Medicare reassignment Care Compare group NPD
• Core Health Management

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Evansville, IN
  • NPI 1780478818
  Medicare reassignment Care Compare group NPD
• Evansville Treatment Center, LLC

  • Methadone Clinic
  • Evansville, IN
  • NPI 1194878587
  NPD (past)
• Family Medicine Associates-Southern Indiana , P.C.

  dba Family Medicine Associates

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1932128113
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1346393535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 W FRANKLIN ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101032",
            "telephone_number": "812-424-0223",
            "fax_number": "812-424-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PROFESSIONAL BLVD STE 200",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148011",
            "telephone_number": "812-469-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHURST",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01051111A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "PERKINS",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Holly L White, PHARMD
• Jason F White, MD
• Nichole Michelle White, LCSW
• Daniel Wright Whitehead, M.D.
• Willard Whitehead III, MD
• Jalaya Whitfield
• Jenna K Whitfield, MSW
• Lisbeth Emge Whitledge, RN
• Cameron Whitler, D.O.
• Ginger F Whitler, BS, OTR

• Family Medicine Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.