Active NPI
Adam Whiteside, M.D.
- Emergency Medicine Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 070009
- Practice address
- 5356 Reynolds St
201
Savannah, GA 31405-6016 - Phone
- (912) 232-9700
- Fax
- (912) 232-9701
- NPI assigned
- Mar 22, 2010
- Last updated
- Oct 28, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Personal Emergency Response Attendant | 146D00000X | 207P00000X | KY | |
| Emergency Medicine Physician | 207P00000X | 070009 | GA | Primary |
Addresses
Primary practice location
5356 Reynolds St
201
Savannah, GA 31405-6016
Mailing address
PO Box 1345
Savannah, GA 31402-1345
Phone (912) 232-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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
- Emergency Medicine
- Education
- University of Louisville School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 New Moody LN
La Grange, KY 40031-9154
Phone (502) 222-5388
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070009 | GA | MD | Emergency Medicine Physician |
| 207P00000X | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oldham County Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Advanced Pediatric Specialists LLC | Past | Accepting new patients | |
| Southeast Wound Specialists, LLC | Emergency Medicine | Past | Accepting new patients |
| Ky-I Medical Services, P.S.C. | Past | Accepting new patients | |
| Georgia Emergency Associates | Emergency Medicine | Past | Accepting new patients |
Locations
1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- La Grange, KY
- NPI 1508726035
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- Pediatrics Physician
- Savannah, GA
- NPI 1073046397
-
- Emergency Medicine Physician
- Rincon, GA
- NPI 1528098290
-
- Physician Assistant
- Frankfort, KY
- NPI 1336586932
-
- Emergency Medicine Physician
- Charleston, SC
- NPI 1114953742
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health La Grange
- General Acute Care Hospital
- La Grange, KY
- NPI 1306925540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1508180373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1345",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314021345",
"telephone_number": "912-232-9700",
"fax_number": "912-232-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5356 REYNOLDS ST",
"address_2": "201",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056016",
"telephone_number": "912-232-9700",
"fax_number": "912-232-9701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITESIDE",
"first_name": "ADAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-22",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": "KY",
"license": "207P00000X",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "070009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.