Individual provider Active NPI

Susan Marie Whitmer, MD

  • General Practice Physician
  • Atlanta, GA
National Provider Identifier
1639373426
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
87164 Issued in GA
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

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
87164GAMDGeneral Practice Physician
24786NEMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Oct 1, 2021 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.

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.

Verify at the official NPI Registry.