Organization Active NPI

Whisby Health LLLP

  • Physician Assistant
  • Jonesboro, GA
National Provider Identifier
1487397865
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
WHISBY HEALTH LLLP
Doing business as
QUIK CLINIC
Practice address
767 North Ave
Jonesboro, GA 30236-2232
Phone
(678) 208-3573
Fax
(678) 208-3573
NPI assigned
Apr 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Authorized official

Name
Derrick Whisby
Title
Owner
Phone
(678) 208-3573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

767 North Ave
Jonesboro, GA 30236-2232

Mailing address

767 North Ave
Jonesboro, GA 30236-2232
Phone (678) 208-3573

Other names 1

  • QUIK CLINIC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1487397865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 NORTH AVE",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362232",
            "telephone_number": "678-208-3573",
            "fax_number": "678-208-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 NORTH AVE",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362232",
            "telephone_number": "678-208-3573",
            "fax_number": "678-208-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHISBY HEALTH LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "WHISBY",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-208-3573"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUIK CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.