Allie Grace Whitley, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

83049 Issued in SC

Practice address

3980 Highway 9 E Ste 100
Little River, SC 29566-8163

Phone

(843) 390-8320

Fax

(843) 390-8329

NPI assigned

Jun 5, 2017

Last updated

Feb 1, 2021By 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 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC, SC, KY3 enrollments

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 3

Specialty

Family Practice

Education

University of Pikeville, Kentucky College of Osteopathic Med, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

McLeod Regional Medical Center of the Pee Dee IncGroup PAC ID 7416851852, 401 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Conway Home health agency, Conway, SC, CCN 427112
• Centerwell Home Health Home health agency, Myrtle Beach, SC, CCN 427045
• Amedisys Home Health of Myrtle Beach Home health agency, Myrtle Beach, SC, CCN 427067
• McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
• McLeod Loris Hospital Hospital, Loris, SC, CCN 420105
• Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
• Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: awhitley19603@directmcleodehealth.org

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.

• McLeod Regional Medical Center of the Pee Dee, Inc

  dba Cbo MRMC Emergency

  • Emergency Medical Services (Emergency Medicine) Physician
  • Florence, SC
  • NPI 1154371433

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Baptist Health Medical Group Inc

  • Nurse Practitioner
  • Lexington, KY
  • NPI 1518360296
  Medicare reassignment Care Compare group NPD
• McLeod Physician Associates II

  • Family Medicine Physician
  • Florence, SC
  • NPI 1801990494

  NC

  Medicare reassignment NPD
• McLeod Physician Associates II

  dba McLeod Urology Associates

  • Urology Physician
  • Florence, SC
  • NPI 1649428194
  NPD
• McLeod Physician Associates II

  dba McLeod Orthopaedics - Florence

  • Orthopaedic Surgery Physician
  • Florence, SC
  • NPI 1922555739
  NPD
• McLeod Regional Medical Center of the Pee Dee, Inc

  dba McLeod Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Florence, SC
  • NPI 1871775841
  NPD
• Baptist Health Medical Group Inc

  dba Dawson Springs Rural Health Clinic

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  NPD
• McLeod Regional Medical Center of the Pee Dee, Inc

  dba McLeod Home Health

  • Home Health Agency
  • Florence, SC
  • NPI 1215991682
  NPD (past)

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

• Amedisys Home Health of South Carolina LLC

  dba Amedisys Home Health of Conway

  • Home Health Agency
  • Conway, SC
  • NPI 1316905573
  Care Compare affiliation
• Georgetown Hospital Home Health LLC

  dba Amedisys Home Health of Myrtle Beach

  • Home Health Agency
  • Myrtle Beach, SC
  • NPI 1811955065
  Care Compare affiliation
• Grand Strand Regional Medical Center LLC

  dba Grand Strand Medical Center

  • General Acute Care Hospital
  • Myrlte Beach, SC
  • NPI 1083668669
  Care Compare affiliation
• McLeod Loris Seacoast Hospital

  dba Loris Community Hospital

  • General Acute Care Hospital
  • Loris, SC
  • NPI 1306123344
  Care Compare affiliation
• McLeod Regional Medical Center of the Pee Dee, Inc.

  • General Acute Care Hospital
  • Florence, SC
  • NPI 1699756221
  Care Compare affiliation
• Total Care Home Health of South Carolina, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Myrtle Beach, SC
  • NPI 1821027962
  Care Compare affiliation
• Baptist Healthcare System, Inc

  dba Baptist Health Lexington

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1538244918
  Care Compare affiliation

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1356870299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 HIGHWAY 9 E STE 100",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295668163",
            "telephone_number": "843-390-8320",
            "fax_number": "843-390-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 HIGHWAY 9 E STE 100",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295668163",
            "telephone_number": "843-390-8320",
            "fax_number": "843-390-8329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "690 Sunset Blvd N Ste 208",
            "address_purpose": "LOCATION",
            "city": "Sunset Beach",
            "state": "NC",
            "postal_code": "284685611",
            "country_code": "US",
            "telephone_number": "910-575-8488",
            "fax_number": "910-575-6542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "ALLIE",
        "middle_name": "GRACE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "225499",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "83049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allie.whitley@mpaii.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW DA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "3980 Highway 9 E Ste 100",
            "city": "Little River",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295668163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Waterway Primary Care,LLC
• Christa Lanae Wentt, MD
• Cheryl Ann Werba
• Mary Melody Dawson Whitaker, DMD
• Monique Whitely, PA-C
• Ruth Marie Wieland, MD
• Amanda Lynn Wilburn, FNP
• Heidi Danielle Wilkerson, CRNA
• Willey Chiropractic, LLC
• Robin Meredith Willey, D.C.

• Family Medicine Physician in Little River, SC
• Providers in Little River, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.