Active NPI
Robert Dean Whitehill
- Clinical Cardiac Electrophysiology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 080415
- Practice address
- 1405 Clifton Rd NE
Atlanta, GA 30322-3283 - Phone
- (404) 256-2593
- Fax
- (770) 488-9408
- NPI assigned
- Mar 29, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 080415 | GA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 080415 | GA | Primary |
Addresses
Primary practice location
1405 Clifton Rd NE
Atlanta, GA 30322-3283
Mailing address
2835 Brandywine Rd Ste 400
Atlanta, GA 30341-5540
Phone (404) 256-2593
Other practice location 1
5461 Meridian Mark Rd
Atlanta, GA 30342-3007
Phone (404) 256-2593
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003204913A | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sibley@choa.gadirect.net | Health Information Exchange (HIE) | Children's Healthcare of Atlanta |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
60 Executive Park S NE
Suite 100
Atlanta, GA 30329-2229
Phone (404) 256-2593
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 080415 | GA | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Healthcare of Atlanta Cardiology Inc | Pediatric Cardiology | Current | Accepting new patients |
| Arthur M. Blank Hospital, Inc. | Past | Accepting new patients |
Locations
2835 Brandywine Rd
Ste 300
Atlanta, GA 30341
Phone (770) 488-9202
1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112
60 Executive Park South NE
Atlanta, GA 30329
2835 Brandywine Rd
Ste 400
Atlanta, GA 30341
5461 Meridian Mark Rd
Ste 530
Sandy Springs, GA 30342
1001 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 785-2008
Organizations & group practices 2
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.
-
- Pediatric Cardiology Physician
- Atlanta, GA
- NPI 1235148727
-
- Children's Hospital
- Atlanta, GA
- NPI 1689744450
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Atlanta, GA
- NPI 1689744450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1487943544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2835 BRANDYWINE RD STE 400",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303415540",
"telephone_number": "404-256-2593",
"fax_number": "770-488-9408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303223283",
"telephone_number": "404-256-2593",
"fax_number": "770-488-9408"
}
],
"practiceLocations": [
{
"address_1": "5461 Meridian Mark Rd",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303423007",
"country_code": "US",
"telephone_number": "404-256-2593",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITEHILL",
"first_name": "ROBERT",
"middle_name": "DEAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-29",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "GA",
"license": "080415",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "GA",
"license": "080415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003204913A",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sibley@choa.gadirect.net",
"affiliation": "Y",
"endpointDescription": "Sibley",
"affiliationName": "Children's Healthcare of Atlanta",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PHI",
"address_1": "1405 Clifton Rd NE",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303223283",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.