Active NPI
Susan Marie Whitmer, MD
- General Practice Physician
- Atlanta, GA
National Provider Identifier
1639373426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 87164
- Practice address
- 141 Piedmont Ave NE Ste D
Atlanta, GA 30303-2417 - Phone
- (404) 413-1930
- Fax
- (404) 413-1953
- NPI assigned
- Jun 13, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 24786 | NE | |
| General Practice Physician | 208D00000X | 58466 | TN | |
| General Practice Physician | 208D00000X | 87164 | GA | Primary |
Addresses
Primary practice location
141 Piedmont Ave NE Ste D
Atlanta, GA 30303-2417
Mailing address
4074 Chippewa PL NE
Atlanta, GA 30319-1522
Phone (678) 777-6737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87164 | GA | MD | General Practice Physician |
| 24786 | NE | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Regents of the University System of Georgia and on Behalf.... | Current | Accepting new patients | |
| Board of Regents of the University System of Georgia and on Behalf.... | General Practice | Current | Accepting new patients |
| Pacific Medical LLC | Past | Accepting new patients |
Locations
141 Piedmont Ave NE
Ste D
Atlanta, GA 30303
Phone (404) 413-1930
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Atlanta, GA
- NPI 1245965813
-
- Sports Medicine (Family Medicine) Physician
- Atlanta, GA
- NPI 1114570389
-
- Emergency Care Clinic/Center
- Dunwoody, GA
- NPI 1417011099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1639373426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4074 CHIPPEWA PL NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303191522",
"telephone_number": "678-777-6737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 PIEDMONT AVE NE STE D",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303032417",
"telephone_number": "404-413-1930",
"fax_number": "404-413-1953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITMER",
"first_name": "SUSAN",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "24786",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TN",
"license": "58466",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "87164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.