Joshua Evans Whetzel, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013898 Issued in GA

Practice address

139 E Jefferson St
Madison, GA 30650-1362

Phone

(706) 342-3636

Fax

(706) 342-4273

NPI assigned

Nov 17, 2009

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

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1417284100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 E JEFFERSON ST",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306501362",
            "telephone_number": "706-342-3636",
            "fax_number": "706-342-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 E JEFFERSON ST",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306501362",
            "telephone_number": "706-342-3636",
            "fax_number": "706-342-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHETZEL",
        "first_name": "JOSHUA",
        "middle_name": "EVANS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Weaver Health LLC
• Janeah Weaver
• Rose Ann Weaver, MD
• Allison Welch, NP-C
• Samantha Riley Wells, FNP
• Shontell Monik White, MASTER'S LEVEL
• Kyle Henley Wilkinson, CPA
• Monica La'Shea Williams, APRN, MSN, FNP-C
• Whitney Nicole Williams, CPNP
• O. Adrian Woodruff Jr., DMD, PC

• General Practice Dentistry in Madison, GA
• Providers in Madison, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.