Johnathan Jack Whitaker, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

2015-00253 Issued in NC

Practice address

400 Johnson Ridge Medical Park
Elkin, NC 28621-2447

Phone

(336) 526-4500

NPI assigned

Jun 11, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Orthopedic Surgery

Education

Virginia Commonwealth Univ School of Dentistry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hugh Chatham Memorial Hospital, Inc.Group PAC ID 2062311442, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yadkin Valley Home Health Home health agency, Jonesville, NC, CCN 347080
• Hugh Chatham Memorial Hospital Hospital, Elkin, NC, CCN 340097

Merit-based Incentive Payment System (MIPS)

Final score

95.61 of 100Reported as apm

Quality

88.93

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwhitaker@tco.gwaydirect.com

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.

• Hugh Chatham Memorial Hospital, Inc.

  dba Clingman Medical Center

  • Family Medicine Physician
  • Ronda, NC
  • NPI 1447373063
  Medicare reassignment Care Compare group NPD
• Hugh Chatham Memorial Hospital, Inc

  dba Tri-County Orthopedic & Sports Medicine

  • Orthopaedic Surgery Physician
  • Elkin, NC
  • NPI 1275812273
  NPD

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

• Hugh Chatham Memorial Hospital Inc

  • General Acute Care Hospital
  • Elkin, NC
  • NPI 1942361308
  Care Compare affiliation
• Hugh Chatham Memorial Hospital, Inc.

  dba Yadkin Valley Home Health

  • Home Health Agency
  • Jonesville, NC
  • NPI 1609862192
  Care Compare affiliation
• Hugh Chatham Memorial Hospital, Inc.

  dba Hugh Chatham Health Family Medicine Residency

  • Family Medicine Physician
  • Elkin, NC
  • NPI 1679428486

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1376863456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 JOHNSON RIDGE MEDICAL PARK",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 JOHNSON RIDGE MEDICAL PARK",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212447",
            "telephone_number": "336-526-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "JOHNATHAN",
        "middle_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-11",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OT013666",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "2806",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS017457",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2015-00253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Thomas Walker, M.D.
• Welcome Mat Health, Inc.
• Michelle Marsh Wells, PT
• Karmon West, PA-C
• James William Whelan, M.D.
• Ashley Marie White
• Jenifer C White, RD
• Kristy Ferguson Whitesides, CNM
• Courtenay Salisbury Whitman IV, MD
• Lindsey Wilcox, RD, CSO, LDN

• Orthopaedic Surgery Physician in Elkin, NC
• Providers in Elkin, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.