Individual provider Active NPI

Dawn Anne Whittle, FNP-C

  • Primary Care Nurse Practitioner
  • Warner Robins, GA
National Provider Identifier
1467038026
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN269196 Issued in GA
Practice address
203 Tommy Stalnaker Dr
Warner Robins, GA 31088-8960
Phone
(478) 333-3711
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN269196 GA Primary

Addresses

Primary practice location

203 Tommy Stalnaker Dr
Warner Robins, GA 31088-8960

Mailing address

203 Tommy Stalnaker Dr
Warner Robins, GA 31088-8960
Phone (478) 333-3711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210623001533 GA Practitioner - Nurse Practitioner 3375944705 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN269196GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Medical Group, P.C. CurrentSince May 12, 2025 Accepting new patients
Gastroenterology Associates of Central Ga, LLC CurrentSince Jul 30, 2022 Accepting new patients
Synergetic Healings LLC PastSince Jul 30, 2022 Accepting new patients

Locations

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

4300 Northpoint Pkwy
Ste 300
Johns Creek, GA 30022
Phone (770) 518-4406

610 3rd St
Ste 202
Macon, GA 31201
Phone (478) 216-7378

610 3rd St
Ste 100
Macon, GA 31201
Phone (478) 745-8205

203 Tommy Stalnaker Dr
Warner Robins, GA 31088
Phone (478) 225-2949

2054 Watson Blvd
Warner Robins, GA 31093
Phone (478) 918-0770

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1467038026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 TOMMY STALNAKER DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888960",
            "telephone_number": "478-333-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 TOMMY STALNAKER DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888960",
            "telephone_number": "478-333-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTLE",
        "first_name": "DAWN",
        "middle_name": "ANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN269196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.