Moeshae Devon Whitten, PATIENT CARE TECH

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2801 Altama Ave Apt 12
Brunswick, GA 31520-4641

Phone

(912) 265-4370

NPI assigned

Jan 27, 2010

Last updated

Jan 29, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1578894721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 ALTAMA AVE APT 12",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204641",
            "telephone_number": "912-265-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ALTAMA AVE APT 12",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204641",
            "telephone_number": "912-265-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTEN",
        "first_name": "MOESHAE",
        "middle_name": "DEVON",
        "name_prefix": "Mr.",
        "credential": "PATIENT CARE TECH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Jason Wellman, D.C.
• Effie Vorest West
• Cheryl A Wheeler, PHARMD
• Justin Stanley Whitlow, MD
• Whitney McConnell LLC
• Amanda Wilcox-Summers, COTA/L
• William R. Johnson, PH.D., PC
• Hannah Elizabeth Williams
• Misty Leigh Williams, M.D.
• Renee Elizabeth Williams, O.D.

• Case Manager/Care Coordinator in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Case Manager/Care Coordinator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.