Whitley Medical Service Inc

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1195 Issued in TN

Legal business name

WHITLEY MEDICAL SERVICE INC

Practice address

143 Veterans Pkwy
Murfreesboro, TN 37128-6434

Phone

(615) 904-6033

NPI assigned

Aug 12, 2016

Organization subpart

No

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

Authorized official

Name

Candace Whitley, PA-C

Title

Owner/Provider

Phone

(615) 306-8849

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1508310012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 CARBON COPY CT",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371306689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 VETERANS PKWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371286434",
            "telephone_number": "615-904-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITLEY MEDICAL SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "615-306-8849",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "1195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger W. White, D.C.
• Teri Andrea White, 1744P3200X
• Jordan Whitehead
• Lindsay Whiteman, MA
• April Linn Whitfield, M.D.
• Susan Whitley, LPC/MHSP
• Denilson Whitmore
• Rebekah Whitmore, LMSW
• Kristol Whitsitt
• Amanda Joanne Whitworth, APRN, FNP-C

• Medical Physician Assistant in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.