Whitesburg Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

27081 Issued in AL

Legal business name

WHITESBURG FAMILY MEDICINE

Practice address

4800 Whitesport Cir SW Ste 1
Ste. 201
Huntsville, AL 35801-6444

Phone

(256) 327-0888

Fax

(256) 327-0891

NPI assigned

May 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Elisa J Haley, MD

Title

President

Phone

(256) 327-0888

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1568620060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 WHITESPORT CIR SW STE 1",
            "address_2": "STE. 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016444",
            "telephone_number": "256-327-0888",
            "fax_number": "256-327-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 WHITESPORT CIR SW STE 1",
            "address_2": "STE. 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016444",
            "telephone_number": "256-327-0888",
            "fax_number": "256-327-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITESBURG FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-327-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "27081",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "27651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yashica Robinson White, MD
• Elizabeth Ayer Whitehead, DPT
• Michaela Whitehead, MS, NCC, LPC, CEDS
• Brittany Whitener, CRNP
• Whitesburg Dental Design, LLC
• Whitesburg Gardens, LLC
• Whitesburg SNF Operations LLC
• Jerry Donald Whiteside Jr., R.PH.
• Clinton Harris Whitley, CRNA, DNP
• William Whitmer

• Family Medicine Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; 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.