Kathrine Jebian Whitehead, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

55353 Issued in GA

Practice address

6 Player CT NW
Rome, GA 30165-2566

Phone

(706) 291-0301

NPI assigned

Jun 16, 2006

Last updated

Sep 30, 2020By 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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, IL2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwhitehead87610@direct-ehr-ssmhc.com

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.

• Hartwell Emergency Physicians LLC

  • Emergency Medicine Physician
  • Hartwell, GA
  • NPI 1962540849
  Medicare reassignment NPD
• Midwest Emergency Centralia Campus Associates, Inc

  • Emergency Medicine Physician
  • Centralia, IL
  • NPI 1396034245
  Medicare reassignment NPD
• Midwest Emergency Sparta, Inc

  • Emergency Medicine Physician
  • Sparta, IL
  • NPI 1194162370
  Medicare reassignment NPD
• Salem Township Hospital

  • Critical Access Hospital
  • Salem, IL
  • NPI 1295739548
  Medicare reassignment NPD
• Hartwell Emergency Physicians LLC

  • Emergency Medicine Physician
  • Lavonia, GA
  • NPI 1467710152
  NPD
• Salem Township Hospital

  dba STH Family Health Care Center

  • Rural Health Clinic/Center
  • Salem, IL
  • NPI 1649830472
  NPD
• Hargrave Emergency Physicians LLC

  • Emergency Medicine Physician
  • Fort Oglethorpe, GA
  • NPI 1760744668
  NPD (past)
• Lavender Inpatient Services LLC

  • Internal Medicine Physician
  • Cartersville, GA
  • NPI 1902215767
  NPD (past)
• Midwest Emergency Good Samaritan, Inc

  • Emergency Medicine Physician
  • Mount Vernon, IL
  • NPI 1629367578
  NPD (past)
• Salem Township Hospital

  • Critical Access Hospital
  • Salem, IL
  • NPI 1689732463
  NPD (past)
• Spartanburg Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Spartanburg, SC
  • NPI 1912209685
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1437194404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PLAYER CT NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652566",
            "telephone_number": "706-291-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PLAYER CT NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652566",
            "telephone_number": "706-291-0301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Ricker Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "IL",
            "postal_code": "628814263",
            "country_code": "US",
            "telephone_number": "618-548-3194",
            "fax_number": "618-740-0122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "KATHRINE",
        "middle_name": "JEBIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "55353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "715622801A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Richards White, DO
• Michael L White, PAC
• Tosha Michelle White, AGACNP-BC
• James Chadwick Whitefield, PTA
• Whitehall Wellness Center (Paxton Chiropractic)
• Travis David Whitehead, MD
• Zachary Carl Whitener, NP-C
• Adam Scott Whittemore, PA-C
• Alex William Widmer, RT R VI
• Alice Eleanor Wiener, PSY.D.

• Emergency Medicine Physician in Rome, GA
• Providers in Rome, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.