Individual provider Active NPI

Adam Whiteside, M.D.

  • Emergency Medicine Physician
  • Savannah, GA
National Provider Identifier
1508180373
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
070009 Issued in GA
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120103000167 KY Practitioner - Emergency Medicine 5193991743 Reassigns benefits to 2 organizations

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
Oldham County Emergency Physicians, LLCGroup PAC ID 3072094614, 37 clinicians

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

LicenseStateTypeSpecialty
070009GAMDEmergency Medicine Physician
207P00000XKYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oldham County Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 15, 2026 Accepting new patients
Advanced Pediatric Specialists LLC Past Accepting new patients
Southeast Wound Specialists, LLC Emergency Medicine PastSince Jul 24, 2022 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.